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ADDRESS <br />DESC. <br />ISi5i:P71 <br />� <br />� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 — FAX 425-257-8857 <br />���9—�9 <br />PARCEL TAX I.D. # <br />���.� Z8'D Sl 8� �(� 1 Ot� <br />BLOCK I TRACT <br />AODRESS <br />� I I (' �1 P�1X �73 ��rr�.�i� (,� <br />�� � ����� � CONTACTPORPERMIT <br />-r- li�l �� �'iI�Y <br />ADDRES <br />-�ir P�o�-c�i dn �`� x I 28 <br />�� q(�� mou �-f" �x��. � <br />PROPOSED USE OF BUILDING <br />8uilding Mechanical <br />PERMIT R Combination R Plumbing <br />7vPE D Demolition � Sign <br />1�Sprinkler <br />CONTRACT PRICE OF WORK � �C��z(:i,� <br />PERA7IT S <br />�9//'C�?3 <br />PHONE O�^ <br />��i8' t .� <br />ZIP CONTR. LICENSE # <br />a�273 <br />�Addition <br />Alteration <br />New <br />RepairlMain!. <br />HEATSOURCE <br />�Elearic <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS 3105 <br />WORKDESCRIPTION i�� �_ � �/ ��,T„�/y � C �� <br />1�0�� � �-[� � � V 1 y 11, , i l.Vf`-, `.." ' � <br />��(i�/\ K.1�,4� �y �� M I�C�.0�1�i'1� C�OJI� � rjiw � lm, <br />NO. � TYPE OF FIXTURE OR ITEM <br />INATER CLOSET <br />[3ATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARIMOP/ETC.) <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT IIEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPIACE INSERT <br />GAS FIREP�ACE <br />GAS R�NGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />' PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COh1PIJED WITH WNETHER SPECIFIED HEREIN OR <br />�, NOT. THE GRANTING OF H� ERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />' STATE UR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OP CONSiRUL'TION. THAT I AM AUTHORIZED BY THE <br />I OWN THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />I CON RACT S A 1 2 W AN 296200 WAC. <br />� n � �`��ti �/�-f�°a��� � � l�l �� <br />i..�y��a,,..o .........................._...._..._..-'_..�_... <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />