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JUL-17-20D6 12:00 FP,011:PER11IT 4257756315 T0: 14252578857 P.1 <br /> P�r2M�T APP�ICATIO�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> � � I g-o6 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> '2`7�7�l � -� .-,_� <br /> o a lC�c� ?�/ ,, -�c._� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AODRESS ZIP PHONE <br /> CG1/Z S�/�er �R.C.«I�h 22Z1 �.t�h'l.�xtrL� �2 ��2d 1 �z.J`Z,�'� �'I� <br /> TENANT�NAME CONTACTFORPERMIT PHONE <br /> Cj'GC�-�— I �-!/1 d� �zS 2��- 8 '�5� <br /> CONTRACTOR � AODRESS ZIP CONTR.UCENSE!! <br /> w RSN �jw��r �'p-rtrlLcJ /'j/�/�C�. G6 G�f�J)Yi�J97ic�g <br /> PHO�� '.'rJ.� 7�,tj � �� �`e �Gt/u�[.�I! <br /> PROPOSED �SE OF BUILDING I BUilding �[M8Ch0�ICal Atlditl0n H[AT SOURGE <br /> � y--i� PERMIT B CombinatiOn U_Plumbinp WORK �Alleralion � Electric <br /> ��� 7YPE � � Demolition U Sign 7YPE New Gas <br /> D Sprinkle� Repalr/Maint. Other <br /> CONTRACT PRICE OF WORK /2 /Cl/„ � � CITY OF EVERE'IT LOCAL SALES TNf CODE IS 7105 <br /> / L �-!' <br /> WORK DESCRIPTION <br /> - ��c�r�l`��r5 �Q�f F������,a Z � s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATEF CLOSET(TOILET) A/C—/1/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) � HEAT PUMP <br /> SHOWER UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL C�OTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER META�FIREPLACE/STOVE <br /> URINAL ^ FIREPLACE ItJSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPIIJG <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHEF. OTHER <br /> I HEREBY CGRITIFY THAT I HAVE READ AND EXAMINED THIS APPL�CATION AND KNOW THE SAME TO BE TRUE FND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GO��ERNIIJG THIS TYPE OF WORK WILL OE COIAPLIED WITH WHETHER SPECIFIeD HEREIN OR <br /> NOT. 7HE GRANTING OF A PERM�T DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORA7ANCE OF CONSTRUGTION. THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PEftFORt.1 THF WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> ' CONTR CTORS LA .27 RCW AND 29f.20 / <br /> / v7�-�t°� /I � � / �C G 7�OV <br /> Si al re of OwnodConlractor/A i rized Agent Date <br /> DEBIT & CR[DIT CARDS ARE NOT ACCEPTE� <br />