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i — — --_� <br /> PERMIT APPLICATION <br /> , CITY OF EVERETT PERMIT SERVICES <br /> I 320U CEDAR STREET, EVERETT, WA 98201 i <br /> 425-257-8010- FAX 425-257-t3857 <br /> � <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT� <br /> 1131 7 �.�(��St/zSon/ l�r� oou� �>noo 5502 �D'�G - L I <br /> LEGAL LOT NO. FiLOCK TRACT I <br /> oesc. j5 P/�t � �T Pr- Vol, 9 0� �l ,� <br /> OWNER k. ADDRESS ZIP PHnNE <br /> GQ�ti � ka�ti� I�o� r'{s ii3, � r, � RIi�fLSo�v- 9�2oY �ris-33 ���is-�a' <br /> TENANT N ME r CONTACT FOR PERMIT PHONEU2 S�3 u G "S 3 7 J �I <br /> CrSn.� �on�-�5 425-33& �(&7y �� <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> PHONE �/ M�/� � <br /> U(�ti/ C./ <br /> PROPOSED USE UF BUILDING I 4ullding n MeCh2niCal Addition HEAT SOURCE <br /> PERMIT Combination H Plumbing WORK R�( Alteretian R Electric <br /> iYPE � Demolition L/ Sign NPE u New �' Gas <br /> U Sprinkler U RepaidMaint. U Other <br /> COKTRACT PRICE OF WORK ��!7� 7-� CITY OF EVERETf LOCAL SALES TAX CODE IS 7105 <br /> J / <br /> W ORK OESCRIPTION <br /> (3�r� �a a��vel, Ga�tiSt <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURF.OR ITEM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> UIVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK& DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER 1�1ETAL FIREPLACE/STOVE <br /> URINAL F!REPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIP.EPLACE <br /> FLOOR DR.41N GAS RANGE <br /> BACKFLOW PREVENi'ER GAS PIPING <br /> � SINK(SERVICE/BAR/MOP/ETC.) EXNAUST FAN <br /> � <br /> � OTHER OTHE� <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. A!L <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERM1IIT DOES NOT PRESUME TO GI'Jc AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WNICH APPLICATION IS MAD=AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RC'N AND 296.200 WAC. <br /> /�, �,��� ��.�%�� � <br /> � Signature of O �edContractodAuthorized Agent ate IZ <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED j <br />