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, � <br /> PERMIT APPLICATION ' <br /> CITY OF EVERETT PERMIT SEFiVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SIT ADDRES� PARCEL TAX I.D.# PEPMIT x <br /> ��Jr Jn.�ks��ti v. mo< <o-03 <br /> LEGA LOT NO. BI.pCK TRACT <br /> DESC. <br /> OWNER ADDRESS <br /> ZIP RHONE <br /> �d�-,� r��P �� s a-aa .»��s�« �.�- 5/3 - � 31 d <br /> TENANT NAME I CONTACT NAh7E <br /> PHONE <br /> CONTRACTOR 110DRES5 ZIP CONTR.LICENSE M <br /> PHONE ��S r� <br /> PROPOSED USE OF BUILDING Building Mechani�al Addilion FIEAT SOUHCE <br /> PERMIT � Combinalion � Plumbing WORK R Alle�alion n Electric <br /> S�/� TYPE Demolition D Sign IYPE D New F_� Ga5 <br /> �prinkler U Repair/Mnint. L) Olhor <br /> CONiRACT PRICE OF WORK Cli Y OF EVF.RETi LOCAL SALES TAX CODE I�3105 <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET NC-NHANDLING UNITS <br /> _ �ATHTUB � FORCED AIR SYSTEMS <br /> _ LAVATGHY(WASH 6ASIN) FIEAT PUMP <br /> _ SHOWER UNIT HE�TERS <br /> _ KITCI i[N SINI(8 DISPOSAL CLOTHES DRY[R <br /> _ DISI-N�SFI[R R�NGEHOOD <br /> _ IAUNDRY TRAY' WATFR H[ATER <br /> _ CLOTHES WASHEFi METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACF INSERT <br /> DRINKING FOUN7"AIN GAS FIREPLACE <br /> FLOOR DRAIN G�S RANGE <br /> _ C�ACKFLOW PR[V[NTER GAS PIPING <br /> _ SINK(SERVICE/�AR/MOP/[TC.) EXHAUST FAN <br /> _ OTH[R _ OTHER <br /> I HEREUV CERiTIFY THAT I FIAVE R[AD AND EXAMINED THIS APPLICATION AND KNOW TI1E SAME TO BE�fRUE AND CORFiEC f. ALL i <br /> FROVISIONS OF LqWS AND ORIDINACES GOVERNING THIS TYPE OF WORN WILI�E COMPLI[U WITH WHETHER SPECIFIEU HEFiEIN OR <br /> NOT. TH[GRANiING OP A pERld1T DOES NOT PRESUM1I[TO GNE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER I <br /> STATE OR LOC�L LAW REGULATING CONSTRUCTION O(i THE PEFFORAIANCE OF CONSTPUCTION THAT I AM AUTHORIZED 8Y THE <br /> OWNER OF TIi15 PROPERN TO PERFOFM THE WORK FUR WHICH APPLICATION IS h1ADE SND 1 CO�dPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 qCW AND 296200 WAC. <br /> Signalure of OwnedConlractor/Authorized Agent Dato <br /> — -- � <br />