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; <br /> P�RMIT APPLICATI�N <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 TAX I.D.# PE ii# <br /> I Z vZ (;�'u'lc�i'� '� o <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER _ ADDRESS ZIP PNONE <br /> �A U�-�(e/I�.IC���,i fwz bruvrlf� �r�� u�'? 9�Za1 -:�zs�—� <br /> TENANT NAME —T— I CONTACT FOR PERMIT PHO�'E <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE k <br /> PHONE <br /> PROPOSED USE OF BUILDING Buildi�g �Mechanical Addition NEATSOURCE <br /> PERMIT Combination Plumbing WORK R AlteraUon �Electric <br /> 7YPE Demolition Sign IYPE D New Gas <br /> Sprinkler U Repair/Maint. ONer <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> WORK DESCRIPiION <br /> Co)G -cbZ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> � BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> „� SHOWER UNITHEATERS <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(SERVICE/BAR/MOP/ETC.) � EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I FIqVE READ AND E�,4MINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AN�CORRECT. ALL <br /> PROVISIONS OF AWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WF1ETFiER SPECIFIED HEREIN OR <br /> NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEFjQF THIS PROPERTY TO PERFORh1 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTF�'A�TORS LAW 182 'W D 256200 WAC. <br /> � � / Z�✓ <br /> Signa e of Owner/Con ' dAuthonzed Agent ate <br /> �J DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />