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( <br /> ' PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVILES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> SITE ADDRESS pARCEL TAX I.D.N PERMI7 t <br /> :Ct`� li;=-:._ � f i il..��' X� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OYYl1ER ADDRESS aP PHONE <br /> L`.it� i \ f - ' ��; Y-1- .y2(^�� C� .'.'�t.a-r i. � . -rt�1+ W�} �}5"y7/ Z�7 � �' - <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> _j:'�V••.- ( ��> 'i I 17�i•ic�vi {�IC'���'��� t -�i � 'I�/l� •.i-rc;i;f�. <br /> CONTRACTOR ADDRESS p 21P CONTR.LICEN9E i <br /> I�:/"/I��;Hi(' �� C �C' [ [ �J /I'•/ ��Ati' /T. r_ /L� (�".��. LJrJl' Jf'.<`jj <br /> PHONE <br /> «l S7`i -'i7�-�, (�fi�'_��/��' c U'� � [.'�. <br /> PROPOSED U9E OP BUILDIN6 Building �Mechen(cal I Adailbn HEAT SOURCE <br /> i�'�6 .-.- I •��� C)�'S��r;� PERMIT B Combination Pl9mbing WORK � AnuraUon I � � <br /> TYPE D Demolition Si n TYPE New <br /> %/��'�2' U Sprinkler RapddAlaint. OIM� <br /> CONTRACT PRICE OF WORK � (c)�� �� CITV OF EVERETf LOCK SALES TAX CODE IS�105 <br /> WORKDESCRIPTION !�I� fN n �/ 1 ✓ �� � � �"� hS��/ ` �� <br /> /TVf [�"(.L��1 � ,S�/'in� 4.h N i fJ <br /> �-I�'I.�L � wc,�a-.�' ��'%''�— �i CiXr��'Nf S/e��S, <br /> T y <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM N0. TYPE OF FIXTURE OR REM <br /> �, WATER CLOSET � A/C-AIHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> � LAVATORY(WASHBASI HEATPUMP <br /> _ SHOWER 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 — C,qg� p�._�---� - - � <br /> _ SINK(SERVICEIBAR/MOP/ETC.) 7 FAN <br /> _ OTHER ��-- _ OTHER <br /> i <br /> � <br /> / — <br /> I HEREBY CERIT�FY THAT I HAVE RBAD AND EXAMINED THIS APPLICATION AND KNOW THE TO BE TRUE AND CORRECT, ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED W H WHETMER SPECIFIEO FiEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. T}{qT I AM AUTHORIZE�BV THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WNICH APPLICATION IS MADE AND I COMP�V WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WqC, <br /> / .�—Z ��a' l�^�^-J <br /> oignature of neqContrador/Authonzed Agent ate <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED �L <br />