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( �. <br /> ��RMIT APPLICATION <br /> GITY' OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE�,WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> SRE ADDRESS P CEL TAX LD.N PERMIT p <br /> ��p �omba�cf oo� /s sozzoo � � i� -�F/ <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS LP PHONE � - <br /> Chr�s,�iah MuNoz �s2o C,avnb�rl �Ci�evef� 5�?pS 339- �az� <br /> TENANTNAME /C�UNTACTFORPERMIi PHONE <br /> I I,QIIt�ICG� c�R,uQ��/ 2OCD�2$Z �'� <br /> �,�p�s�'/��� G'!_ _ , .. �i�,ADDRESS !�1 _��/�„ ZIP CONTR.UCENSE N <br /> w C�YIYJ� ('9�:('T'I!L /�(� rCn 2 <br /> PH�dIG �i�Z. � IW ZO� 1 (h" '"^'J� / AlQ.W �l I � • "f'[J�IC.J`l�I�,J <br /> PROPOSEDUSEOFBUILDING I Bulldlnq `� MBchanical Addltlon HEATSOURCE <br /> PERMIT R Combinalion (�Plumbing WORK �Alte2tlon �Elec6lc <br /> 7YPE �7 DemoliGon � Slgn 7YPE New Gas <br /> d Sprinkler Repair/MainL Other <br /> CONTAACT PRICE OF WORK ��` � — CITY OF EVERETT LOCAL SALES TNC COOE 19�105 <br /> v <br /> WORK DESCRIPTION LU /J� )YJ C 3 'rj � <br /> .�q n s�IZc l I M rer;I.'tc� ��n� �� i P J° <br /> .�h s�1 � u1a�l�ef- he�' u'/gas P ip 1 r��O (�o �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXNRE OR ITEM NO._ 7YPE OF FIXTURE OR ITEM <br /> WATER CLOSET(f01LET) A/C-AIHANDLIPIG UNITS <br /> BATHTUB FORCED AIR S1 STEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNfT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HO00 <br /> LAUNDRY TRAY = WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACElSTOVE <br /> URINAL � FIREPLACE INSERT <br /> ORINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANOE <br /> BACKFLQ`N PREVENTER � GAS PIPING <br /> SINK(SERVICE/HARIMOP/ETC.) _ �XHAUST FAN <br /> OTHER _ �T}1ER <br /> 1 HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDIPIACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITM WHETHER SPECIFIED HEREIN OR <br /> NOT. TI1E GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BYTHE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS 11ADE AND 1 COMPLY WITH iHE STATE <br /> COMRACTORS LHW 18.27 RCW AND 296.200 WAC. <br /> ��„�IG�r� �-Cc�d7� 1D�� d3 <br /> Si at e of nadContractod onzo Agent Date <br /> DE91T& CREDIT CARDS ARE NOT ACCEPTED <br /> T'd LSBBLS252bL�01 �WOa� Lb�60 £00Z-82-1J0 <br />