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�cRMIT APPLICATIUN <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.N PERMI?# <br /> 0 �o ra �� QD �}- 'O -00 C.Q 07�0�3 <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> ;' � u ( I ►� � l92 F3 �2 a�-k�� A�e 9B�o i ��5 � <br /> TENANT NAME CONTACT FOR PERMR PHO E <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE It <br /> PHONE �"}NC � SC'�r �'F7OJ� <br /> W <br /> PROPOSED USE OF,BUILDING ('� Building Mochanical Addition HEAT SOURCE <br /> r' /� / I! � i ..-1 PERMIT � Combination Plumbing WORK B Alteratlon I7 Elearic <br /> V�� � 1 � ( � ^ TYPE Demolillon Sign TYPE D New D Gas <br /> � Sprinkler U RepaidMainL D Other <br /> CONTRACT PRICE OP WORK .+. /�,p�e,,.,�]� CITY OF EVERETT LOCAL SALFS TA7(CO�E IS 7705 <br /> r //-s./V �i• /� <br /> WORKDESCRIPTION� /DO �1� � ��� /� �arl�\ y ��C�� �[y�rQ � <br /> ` J - <br /> � �x <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> � LAVATORY(V✓ASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEr,TERS <br /> KITCHEN SINK&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 DRA�N GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) � EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE REAO AND EXAAAINED THIS A?PIICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETMER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THF PROVISION OF ANY OTHER <br /> GTATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMAN;E OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CO W 1 . CW D 00 WAC. <br /> ` /, <br /> - ( <br /> Signature of OwnedC tractor/Authori d Date � <br /> 1� <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />