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" � � <br /> I- PERMIT APPLICATION <br /> CITY OF EVERETT pERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAl(I.D.N pERMiT p <br /> G�ZO IIE�./iTT AVE o - <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS 21P PMONE <br /> �2L �.�/cr�IscY Il�So�l �'~nJl sc#lo�l �i.�u9�a2 �IZS, ��15-`� <br /> TENANTNAME CONfAC7FORPERMIT PHONE <br /> S�b w �a�! ��,,.�,M,.� ��+�..1�.�� �1 z,�31. I zz � <br /> CONTRACTOR ADDRESS � 21P CONTR.LICENSE� <br /> �—AiNrCR /n1Dus��2iCsLTi7 18�135 01.��-•p�c-AVCS 98�SS RA��v�/�veNo-(' <br /> PHONE LI ZSZ� I ��jCb � <br /> r <br /> PROPOSED USE OF BUILDING Building �MBChanical Addition HEAT SOURCE <br /> PERMIT B Combination Plumbing WORK Allcration (� Elednc <br /> TYPe B Demolition Sign TYaE Now U Gas <br /> Sprinkler Repair/Main1. U Olher <br /> CONTRACT PRICE OF WORK�' I G�Z p c�o CITY OF EVERETT LOCAL SALES TA7(CODE IS]105 <br /> / C` <br /> WORK DESCRIPTION � <br /> If11f-L-. �`'�^� �XrS7 infC� AWNI� 0.n!i7 fZe(�lAc � W� t11 A <br /> n1F.W �rr• <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET AIC—AIHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITI=Y THAT I HAVE READ AND ExAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF l.AWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERM1IIT DOES NOT PRESUM1IE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORAI THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827�W AND 296200 WAC. <br /> — _ 2_ �_�[� <br /> wner ractorl uthorized Agent Date <br /> I <br /> � , DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />