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L � <br /> � �PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV[RETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS .. � PARCEL TAX I.D.U PE (�' � ��_i <br /> :;J'�/� ��2t--iT�'�- �G �i� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC - <br /> OWNER ADDRESS LP PHONE <br /> M/k,tl(,�P, �1�G'�/��� �S/S �v-al2r-'r'i �''`z- �a,�� l9�ZS���Z-fJ8/O <br /> TENANiNAME I � CONTACTNAME PHONE <br /> COHTRACTOR`'_�%�� ���yrr�yC ADDRESS LP CONTR.LICENSE p <br /> G.L v/ 96� /.73�.:� /���' Ni� 980�? 1�5de �I oosn�� <br /> PHONE ��cZSJ��2�6�0 /l.�s�.GCOM1'J, L�� 'IOO,�' 6�O,s/CCj <br /> PROPOSED USE OF BUILDING n1V-+Building C9FMechanical Addilion I HEAT SOURCE <br /> I PERMIT � ) Combination H Plumbing WORK � Alteration � Eiectnc <br /> TYPE D Demolilion LJ Sign TYPE New Gas <br /> D Sprinklef RepairlMainL I Other <br /> CONTRACT PRICE OF WORK cf�, � ��� � � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> `!/" �� <br /> WORK DESCRIPTION � <br /> �CC�.F'D� � ����C��'�j G�9 (�lO�� ��CGC%Aa'�i��CG'� <br /> C� l <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. TYPE OF FIXTURE OR REM <br /> WATER CLOSET A/C-A/HANDLING UNITS <br /> BATIITUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) I1EAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> OISHWASHER RANGE NOOD <br /> IAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACElSTOVE <br /> UR�NAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICEIBAR/MOP!ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAJE READ AND E;CAMINED THIS APPLICATION AND KNOW THE SAh1E TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND OP.IDINACES GOVERNING THIS TYPE OF WORK 6VILL 8E COMPLIED WITH WHETHER SPECIFIED NEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E 70 GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LO .LA iREGULATING CONSTRUCTION OR THE PERFORMANCF.OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br /> OWNER Ob M PR ERTY TO RFO THE WORK FOR WHICH PPLI TiON IS MADE AND I COMPLY WITH THE STATE <br /> CONT TO LA 18.27 R �N ND 2 00 WAC. <br /> � � ��%/�,. L , �o� �i� !D t <br /> Signatu�e of w IContractor/Aulhorized A ent _, Date <br />