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�ERMIT APPLlCAT�iJN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-25'-8857 <br /> I�YI C�.30`{-C9� � <br /> SITE ADDRESS I PARCEL TAX I.D.N PERMiT w <br /> � 0 �� C.l� �.i��" r `V � -�--- n.� n � l _.. � c-' <br /> �EGA LOT N0. BIOCh TRACY <br /> OESC. <br /> OWNER ADORESS ZIP PMONE �„12S 3 17 <br /> �qc,c,K QQoS Co�,sT 39ZZ `67'}RV n1f �uFtErr qfi2cx' �:�bO <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> I Ra.Ky Fo�Csr•�G,n 3(,o bSti 4SG I <br /> CONiRACTOR O�KyS Cwy�c,.. �I`y T�D�RESS 9S(O I ��nJST �J� �P CONTR.LICENSEM <br /> J <br /> , PHONE 3�,0 65y - 9s� � ��\��9��r q$223 �ocK.�GPc31N$ <br /> � PROPOSED USE OF BUILDING Bui�diny 15�Mechanical AAdition HEAT SOURCE <br /> PERMIT Combination K Plumbing WORK Alterntion �f�,( Electric <br /> TYPE � Demolition U Sign TYPE New �yt Gas <br /> Spnnkler RopaidMeinc U Other <br /> , CONTRACT PRICE OF WORK C�TY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> WORK DESCRIPTION ' " . ��� <br /> �„/.' c:�'.l , f�� 4 —, ::�/ .�. .,, <br /> 9�5 � � �, r � �.o (��-� �s o � � �� ,t �eT <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR REM NO. TYPE OF FlXTURE OR ITEM <br /> VIATER CLOS[T A/C-.VHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWEFi _ UNIT HEATFRS <br /> KITCHEN SINK& DISPOSAL _ CLOTHES CIRYER <br /> DISHWASHER RANGE HOUD <br /> _ LAUNDRY TRAY � WATER HE<�TER <br /> CLOTHES WASHER METALFIREPLACFJSTOVE <br /> URINAL FIREPLACE INSEFT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER_ <br /> i NEREBY CEiil?IFV THAT I HAVE READ AND EXA1.11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS UF U1WS AND ORIDINACES GOVEiiNING THIS TYPE OF WORK WILL BE COMPLIED VJITH WHETHER SPECIFIED HEREIN OR <br /> `iOT. THE GRA��TItJG OF A PERIAIT DOES tJOT PRESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR IOCAL LAYJ aEGULATING CONSTRUCTION OR THE PERFORMANCF OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> O'NNER OF T S PFOPERTV TO Ef.FORIA THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTO LA �7827 R ND 296.200 WAC. <br /> U' � ` I— � <br /> S�gnature of Owner ontr ctouAuthoraed Agem Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />