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�PERMIT APPLICAf10N <br /> CITY OF EVERETT PERMIT SERYICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.A RMIT il <br /> 2000 1.�►wNi bN� , l$rP�u�• ',.t�1� vS' � —G3 <br /> LEG LOTNO. BLOCK TRACT �y <br /> DESC. �$'� p(,�-'r 0�- ���/y/ IN VGL 'S O� p(,�'� <br /> OWNER ADDRESS UP <br /> GNY 6� �V�p�tf- <br /> iENANT NAME 5�� I CONTACT FOR PERMR PHONE <br /> �ur�trr�r�ur►- TMerkrr���w�r�x �akN i+���l�t� wi�oN �zs-3�7�� '�c <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENlE t <br /> � <br /> PHONE �n � �.� �,�� <br /> 1"� <br /> PROPOSED USE OF BUILDING Building � Mechanical Atldltlai NEAT EOURCE <br /> FERMIT � Combinatb� Plumbing WORK B Nbratbn [� EIxMc <br /> 7YPE Demolitbn Slgn TYPE FA New D Gas <br /> Sprinkler D RePatrmernt. D on�x <br /> CONTRACT PRICE Of WORK rjb OOU CITY OF EVERETT IOCAL SALES TAX CODE IS 7105 <br /> WORKDESCRIPTION 3200 SF 1'. I. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM NO. . TYPE OF Fll(TURE OR REM <br /> WATER CLOSET(TOILET) _ AIC—AlHANDLING UNITS <br /> BATHTUB FORCED!UR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> = KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY 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(SERVICEIBAR/MOPIETC.) EXHAUST FAN <br /> � OTHER IGiMKht�N� _ _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PkESUME TO GIVE AUTHORITY TQ VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CANSTRUCTION. THAT I AM AUTHORRED BY THE <br /> OW�ER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOR�27 RCW AND 298200 WAC. <br /> Signature of Owner/ antractoNAuthorized Agent Date �/L <br /> 7 <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />