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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 TAX I.D.# PERMiT� <br /> ' ��o Crv�o. �ve �U 385 Z o C� 31 a-�7 <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS 21P PHONE <br /> V��r<< �D C-�,���� 13a� G,�� �ve ��ao� ��25 -zzo���_ <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> � <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> PHONE O�/ ^I � I^� <br /> 4`� 4` <br /> PROPOSED USE OF BUILDING Building I� Mechanical Addition HEAT SOURCE <br /> pERM1T Combination �-� Plumhing WORK �AlteraGon �Elednc <br /> TYPE Demolition L/ Si9� TYPE New Gas <br /> Sprinkler Repair/Maint. Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION I r / � <br /> 2u..,nvvc. �ta�(? � P�ctSb�� Yev�tlt� J�+ wi✓':vtc.i �^L' W�Je� i✓l�j✓�n'�2� yle,.v <br /> p V <br /> k R� ����(�.,�.� �x��„� ��,�e-� �-�- �1,,,.��,��,�-,nd� <br /> �j�l.Lc�l JUC� � ov-c o�c� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OP FI%TURE OR ITEM <br /> I 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 FIREPLACElSTOVE <br /> � URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICEIBAR/MOP/ETC.) �_ EXHAUST FAN <br /> OTHER OTHER _ <br /> I HER'e8V 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 GOVERYIN6 THIS TYPC-,OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES N0T PRe°UA1G TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZE�BY THE <br /> OWNER OF THIS PROP�RTY TO PERF RM11 THE WORK FOR WHICH APPLICATION IS MADE A�rD I CJMPLY WITH THE STATE <br /> C`TRACTO�LA,Vfj1�.2 R���6.200 WAC. <br /> G�(i� [I � Z�vy �aj <br /> Sign ure of Owner ontrector/Authonzed Agent D� <br /> DEBIT & CR�DIT CARDS ARE NOT ACCEPTED <br />