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F��RMIT APPLICAT1vN <br /> CITY OF EVERETT PERMIT Sf:R`JICES <br /> 3200 CEDAFl STREtT, E�'ERETT, WP, 98201 I <br /> �325-257-0810 — FAX 425-257-8857 <br /> SITE ADORESS PARCEL TAX I.D.# � PERMt7 x <br /> ,��� � '' Al� 1� � 1I 3�D _ 76�t_ C��� `000 � � ,.1�02D�-UD _ <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. � � � '� � '7� � ����.00 <br /> OWNER ( ADDRESS ZIP PHONE <br /> �^7�� .� IC1 ��5� lL ! �� ��-�� !-�dE � ��cs�vr iUfl45�u1 �/�5��5/-�Ico <br /> T�'\JUNE` ( �LN�GtAMI..�\V✓1P �3LGL �Y�GN�'1L- - I��7 <br /> CONTRACTQR A�OpESS ZIP CONTR.LICENSE N <br /> PHONE lU (� N � „ <br /> PROPOSED USE OF BUILDING Building I� Mechanical Addition HEA�T4.SOURCE <br /> r1 PERMIT Combination H Plumbing WORK R Alleration -�-y Electric <br /> I,J p 1 � TYPE Deinolilion Ll Sign TYPE R New Gas <br /> �\ `��� ' �` Sprinkler LJ Repair/tdainL B Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TA%CO�E IS 3105 <br /> WORK DESCRIPTION <br /> `��c1J�c�L � 7 t G <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> WATER CLOSET A/C-A/HANDLING UNITS <br /> BATHTUB _ FORCED AIA SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK& DISPOSP.L _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> �AUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIRF.PLACE <br /> FL.00R DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAFl/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> i — <br /> I HEFEBY CERITIFY THAT I HAVE FEAD AND EXAh11NED THIS APPLICATION AND KNOW THE SAA1E TO BE TRUE AND CORFECT. ALL <br /> Pi70VISIONS OF IAWS AND ORIDINACE5 GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED WITH WHETHF.R SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERh11T DOES NOT PR[SUME TO GIVE AUTHORITY TO VIOLATE Dfl CANCEL THE f�ROVISION OF ANY OTHEF <br /> STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I PM AUTHORIZED BY THE <br /> � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS htADE AIJD I COMPLY WIiH THE STATE <br /> CONTFACTOR W 8.27 W AND 296.200 WAC. <br /> � �- �� - �-Z <br /> Sig�e ot wner�c. ��;r ctoUAuthorized Agent Oate <br /> � <br />