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- r <br /> , <br /> 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 ADDRE SS /''_ f�, � PARCE�yL TA�X/I.D.A ^� PERMIT M //� � <br /> 020 ��� lS1' 4k� /IV�lnwe. QV -f �� � �o� / �U ' f V _� <br /> IEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE �LG6 ?�Y- <br /> S% �K i D � v�D r3 �2 G ��F f 9 - Se . I-(A-nl yd i2 r� S? . SE�h�f'E `l�/� l� a is- <br /> TENANTNAME I CONTACTNAME PHONE <br /> �f A-� A-n►I <br /> CONTRACTOR ADDRESS ZIP CONTR.l10ENSE• <br /> PHONE <br /> PROPOSED USE OF BUILOIN6 Building D Mechenlcal Additbn HEAT SOURCE <br /> PERMIT �Combinalion U Plumbing WORK B Allerallon D Eleclric <br /> TYPE Demolition U Sign TVPE ❑ New « Oas <br /> Sprinkler U RepeirRdaint. d pther <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE 18 7106 <br /> WORK DESCRIPTIO(N <br /> DelMal Is� Gt �irct G� � <br /> � �/ <br /> ' PLUMBING MECHANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM NO. TYPE OF Fl%TURE OR REM <br /> WATER CLOSET A/C—NHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> ;_AVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATEiiS <br /> KI�CHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAI FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN QAS FIREPIACE <br /> FLOOR DRAIN GAS RAN(3E <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER _ <br /> I HEREDY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL <br /> PROVISIONS Of IAWS�ND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEI THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL L�W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF TIiIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS L 1827 CW AND 2 . WAC. <br /> /O— �� <br /> ign re ol Own o rac odAulh rize�Age ate <br /> � <br />