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PERMIT APPLICATION F��-►� as <br /> CITY OF EVERETT PERMIT SERVICE A(V ��,�,��.- <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> . Z� -O <br /> SITE ADDRESS PARCEL TAX I.D./ K <br /> LEGF. LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER �� s <br /> �n.e-�C.,,,� 1n�vEsr��i�/Ts,L,c.c, /I'71.� �/�,1Y 9� �� G'��� �JA 9�39 <br /> TENANT NAME CONTACT FOR PERMIT �� <br /> S�M �iUie%c �AG.L � - � -7 D� ' <br /> CONTRACTOR ADDREbs LP CONTR.LN:ENSEt <br /> PHONE Q�j(����G�/L.l}(y� <br /> PROP08ED USE OF BUILDING �f Bufld(ng �en� � �T� <br /> ,p,a���/G PERMIT - f� Combinedon RI..( Plumdnp WORK AIW�tbn RE� <br /> y� � - TYPE D Demolitlan U Sipn T1'PE NsM' 1...( � <br /> 7Ai�'./�✓nJG Lp i D Sprinkler Revw�� U ou� <br /> CON7RACT PRICE OF WORK /Q e OQ �a CITY OF EVERETT LOCAL EALES TAX CODE 16 N06 <br /> WORK OESCRIPTION <br /> ,.�.���,,.� o�.� �x�sri�/G G,e..a��c. <br /> .�'��,u"r.ac.� Ga-rr'��v fdAs'iN To �'rs'riw6 ��r�, <br /> i � � S <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF flXTURE OR ITEM NO. . TYPE OF FIXTURE OR ffEM <br /> WATER CLOSEf(TOILET) _ AIC—NHANDUNG UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK&DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> IAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPIACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BARIMOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUc ANO 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEP.OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS L4W 1827 RCW AND 296200 WAC. <br /> Signature of Owner/ConVactorfAuthorized Agent ete <br /> DEBIT�CREDIT CARDS ARE NOT ACCEPTED <br />