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PERMIT �PPLfCATION -� <br /> CITY OF EVERETT F'ERit�IIT S�RVICE� <br /> 3200 CEDAR STREET, �`.'ERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PAR(:EL TAX I.D.# <br /> 1500 �N'QkSR�1 'ST. IoIJOG. E4 a8d4 oa ao�. z,a000 I � °���-al 7 <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. � E A�-Ac. -r) <br /> OWNER ADDRESS - � <br /> ZIP P90NF. <br /> PA►JRTorJs l�So 5W IQt�OWaop LA►,I� P�v4LnuYJ, oR• 4?224 503- �39- 3iSg <br /> TENANT NAME I CONTACT POR PEF;MIT " <br /> F'HONE <br /> A�R VAU Nma'�} Au46YL1C,r�N G�� $W�4 R�Nt�,rZ 2�,- 39q- 330 0 <br /> CONTRACTOR AODRESS <br /> P ONE J��x��O PRobucSSl31JC. I $a71 ftMDp� PARk W. `f8188 E}J6�N?1o13�'K <br /> PROPOSED USE OF BUILDING Building Mechanical <br /> Addi�ion HEATSOUP.CE <br /> OF�`� /5,�,�nA� PERMIT Combination RI-( Plumbing WOFK � Alleralion <br /> Nt TYPE Demolition U Sign 7yF.E I D Electric <br /> Sprinkler N�W L� Gas <br /> RepaiUMainL U p�ry�� I <br /> CONTRACT PRICE OF WORK �` s.�•e� CITY OF EVERETT LOCqL SALES TAX CODE IS 3705 <br /> WORK DESCRIPTION <br /> �.►/S'i ALc.A�aarJ oF �io�LA6E t�AC.k�nIG— <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET A/C-A/HANDLING UNITS <br /> _ BA7'HTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH E'ASIN) HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> _ DISHVJASHER — <br /> _ LAUNDRY TRAY RANGE HOOD <br /> _ CLOTHES WASHER , WATER HEATER <br /> _ URINAL _ METAL FIRF.PLACE/STOVE <br /> � _ DRINKWG FOUNTAW _� FIREPLACE INSERT <br /> _ FLOOR DRAIN _ GAS FIREPLqCE <br /> _ BACKFLOW PREVENTER �_ GAS RANGE <br /> _ SINK(SERVICE/BAR/MOP/ETC.) _ GAS PIPING <br /> _ OTHER _ EXHAUSTFAN <br /> _ — _ OTHER_ I <br /> i _ I <br /> I <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAPdMED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVFP.NING THIS TYPE OF WORK WILL BE COMPLIED W17H WHETHER SPECIFIED HERcIN OR <br /> NOT. THE GRANTI�IG OF A PERMIT OOES NOT PR[SUME TO GIVE AUTHORITV TO VIOLATE OR CqNCEL THE PROVISION Of ANY OTHER <br /> STATE OR LOCAL lAW REGULATING CONS'iRUCTION QR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORiZED BY THE <br /> OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS A1ADE AYD I COMPLY WITH THE S;ATE <br /> CONTRACTORS l/A�W 1827 RCW AND 296.20�WAC. <br /> � /���' 0.40��04 i <br /> SignAtur o Owner/Contr. r/Authorized Agent Date I <br /> `_ _ DEBIT & CREDIT CARDS ARE NOT ACCEPTED ��j,, ��! i <br /> -- � J S <br /> �, <br />