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f <br /> PtRMIT �4PPLICA�'IUiV <br /> CITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS � PARCEL TAX I.D.# P[RMIT# <br /> 6 � E - �v�"i'�Gr � t'b3 06 <br /> LEGAL LOTNO. BLOCK TRACT ` / <br /> DESC. �( �� 3� �� <br /> OWNER � ADDRESS ZIP PHONE <br /> �A�✓i c� � �e.z /�� e.�l�� L/1zA� _ l � � T,,,.-��,��i e%`'z' � wa <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> PHONE <br /> PROPOSED USE OF BUILDING � Building � Mechanical � Addition HEA750URCE <br /> PERMIT Combination P�umbing WORK Alte2lion � Electnc <br /> 5� ,/� TYPE Demolilion Sign TYPE New Gas <br /> ,'` Sp�inkle� i RepairlMaint. Other <br /> CONTRAC7 PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION / ` <br /> P�v rv�tM+ �%L� ��� '� 9c �Gi�/' — C cN�s� \�.-�y'cM <br /> O Y�E �� v�1'Q-- <br /> ��r�S �t.��a'�1 07�\ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> � � BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> 1 g DISHWASHER __ RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLUTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREP; ,CE INSERT <br /> DRINKING FUUNTAIN GAS FIREPLACE <br /> Z FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OP LAWS AND ORIDINACES GOVERNWG THIS NPE OF WORK LVILL BE COMP�IED WITH V✓HE7HER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE F.UTHORITV 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 I <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS M11ADE AND I COMPLY WITH THE STATE <br /> CONTR4CTORS l AW 18.27 RCW AND 296200 WAC. <br /> DA9� ���, �� l� n ri9 (7(�/ /FJ/ �� _ <br /> Si naWr of w edContractor/Aulhonzed A ent D te <br /> DE81T & CREDIT CARDS AR� NOT ACCEPTED I <br />