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PERMlT APPLICAT(ON � <br /> CITY OF EVERETT PERM(T SERVICES <br /> 3200 CEDAR STREET. EVERETT. WA 9b�U1 <br /> � 425-257-881 D- F/�X 425-257-8857 <br /> �� SITE ADDRES!�S. n, / pAftCEL TAIC I.D.# � aERMI', # �� <br /> � ���:� �"Iv� YIVQi I1G7(i"�'-GI� <br /> , LEGAL LOTN . BLOCK TRACT � <br /> DESC. <br /> �, OWNER A�DRESS LP PHONE <br /> � ��1v;���a�r � �3a ii�����-��v�. ���e���+t w� qR%�� (�1�-�)�2-�� <br /> ITENANT NA C NiACT FOR PERMIT pHONE � <br /> �� N/r� � 1�1ir��1�z�-1�1d�4�"ri� l��) `138 P ` �3`� <br /> ii CONTRACTOR ADDRESS ZIP CONTR.LICENSEN � <br /> I� irc�lcc�- lndU`.�� �Sl�ic. . a5c5Ha,ztc�,���'d9,c�k4c� ir�iT�k'-�io<t,�c� <br /> i PHONE <br /> i �42�� `t"�h ��.�cF;� E �r c'�f+ W'A ��'�c�j <br /> �I PROPOSED USE OF BUILDING �q Bwlding Me,hanical I�1 nddi;ion NEAT SOURGE <br /> I I PERMIT �F'-.(( Comhinalion � Plumbing IWORK {1�� fJteration � R ElecMc <br /> TYPE �..j Demoli�ion Sign TYPE �,_J New ��'Y� _ �j Gas <br /> L) Spnnkler L� Repair/Maint U Olher <br /> CON7RACT PRiCE OF WORK f����rj w/r�K CfTY OF EVERETf LOC�'.SALES TAX CODE IS 7105 �'� <br /> a <br /> , WORKDESCRIPTION�I����� ,{, II�JIZ�.II IY'�� YI�C� 7���U��1�1�1 (� �'�If (j�j I �� (;�'��,� <br /> F"�I��{;iY� � �LU,�Qyr' CG��'l'1� � <br /> PLUNiBIIJG MECHANICAL � <br /> I NO. 7YPE OF FlXTURE Q�i REM NO. TYPE OF FlXTURE OR REM <br /> � _. WATER CLOSET q!C-lJHANDLING UNITS <br /> BATHTUB FORCE�AIR SYSTEMS <br /> I _ LAVATORY(WASH BASIN) HEA7 PUMP � <br /> 'i SHOWER UNITHF.ATERS <br /> _ KITCHEN SINK&DISPOSAL CLOTHES DRYER i <br /> _ DISHWASHER RANGE HOOD I <br /> ; LAUNDRY TRAY WATER HEATER ' <br /> I CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE 11'JSERT <br /> � _ DRINKING FOUNTAIN GAS FIREFLACE <br /> , FLOOR DRAIN GAS RANGE � <br /> � _ BACKFLCW PREVEN7ER GAS PIPING I <br /> SINK(SERVICEIBAR/MOP/ETC.) EXHAUST FAN i <br /> � OTHER____ OTHER � <br /> I i-iHREBY rERITIFY THAT I HAVE READ AND EXAAIINE�THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. /LLL <br /> PROVISIONS OF LAlYS FJJ�ORI�INl.CES GOVEfU41NG THIS NPE OF WORK WILL BE GOMPUED N9TH WIiET4ER SPECIFIED HEREIN OR <br /> !:07 THE GRANTING OF APERMIT OOES NOT PRESUL�E TJ GNE AU7HORIIY TO ViOLATE OR CPNCEL THE PROVISION OF ANY OTHER <br /> "f/�.tE OR LUCAL LAIN REGULA?ING CONSTRUCi IOI:On TnE rc'nPJRLfANCe OF CONSTRUCTION. TMAT I AA1 AUT.iORIZED BY THE <br /> i�1A'NER OF THIS PRO?ERiV TO P O d THE l5'ORK FOft 1'i iiICH AP?LICA i IOIi IS IdAD'c WJD I GOMPLY W IT H THE STATE <br /> !:ONTRACTORSLAW . AI�D2 2G7N'AC. <br /> �; ��� ��>> � <br /> Signalure ot Owrt6f7ConvactodAafhonzetl Agent / Date I <br /> DEBIT & CREOIT CARDS ARE NOT ACCEPTED <br />