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I PL�.��h^�I�f APPLICATI�.°� J <br /> E,, CITY OF EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, EVEP�Erf, WA 98201, 425-257-8810 <br /> ,,, S-og-os <br /> . . <br /> SITEIDDRESS — �n n� ���I I � PARCEL TAX I.D.N C R�� k ) G,��I <br /> ( �'1�1 L�C ��7 , <br /> `'�Lk-� �x, V,. / <br /> LEGAL LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER i ADDRESS iPHONE <br /> ; � <br /> i <br /> �ENAJJT Af� M��^ lJ �iJ�^] CONTACTNAME i PHONc <br /> `�_ l�-d'� �`; ��, <br /> � <br /> CONTRACTOR �r(,�Q. 2' ��DgESS I�Q � CONTR. LICENSE# <br /> �' (� �(�(YV���(�13��'� <br /> PHONE 2inC7 ���"I�J ; 1� �'�TV�� �� `l�� � <br /> CJx <br /> PROPOSED USE OF BUILDING Building D Mechanical Add�tian HEAT SOURCE <br /> � ` PERMIT � Combinalion u Plumbing WORK �Attemtion � Elecvic <br /> � t�-�(�,J`,4 TYPE Derr,olition U Sign TYPE New Gas <br /> Sprinkler Repaidhtaint Other <br /> CONTRACT PRICE OF WORK `� �O CITY OF EVERER'LOCAL SALES TAX CODE IS 3105 <br /> WORKDESCRIPTION ���� ��� <br /> � <br /> PLUMBING MECHANICAL <br /> N0. IYPE OF FIXTURE OR ITEM NO. lYPE OF FIXTURE OR ITEh1 <br /> I _ WATERCLOSET _ A!C—A/HANDLINGUNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATOP, `WASH BASIN) HEAT PUh1P <br /> SHObVER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLUTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> Lr�UNDFY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE ; <br /> FLOCR DRAIN GAS RANGE <br /> j _ BACKFLOW PREVENTER _ GAS PIPING <br /> I _ SINK(SERVICE/BAR/MOPlETC.) _ EXHAUST FAN <br /> � _ OTHEFi _ OTHER <br /> I <br /> I, I HEREBY CERITIFf THPT I HAVE RFi1D AND EXAMINED THIS APPLICATION AND KNOW THE SAPdE TO BE TRU�AND CORRECT. ALL <br /> PROVISIONS OF LF.VlS A.VD ORIDINACES GOVFFNING THIS T1"PE OF WORK WILL BE COMPLIED WITH IYHETHER SPECIFIED HEFEIN OR <br /> NOT. THE GRANTWG OF A PERPdIT DOES NOT PRESUMe TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> iSTATE OR LOCFL LA`PI REGULITING GONSTRUCTION OR THE PERFORP.IANCE OF CONSTiiUCTION. THAT I Aht AUTHORIZED BY THE <br /> OVJNER OF THIS PFOPERTY TO PERFOR0�7 THE WORK FOR WHICH APPLICATION IS P.1ADE AND I COMPLY WITH THE STATE <br /> CO�T A FS LAW 18.27 W AND 296200 WAC. <br /> �� Z � � <br /> I Signatu wnedContraclor ut onzed Agent Dat I <br /> � <br /> �. <br />