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P�RMIT 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.k PERMi7 x <br /> ala� R NO ,rC 3 I- �131 -0 � - ood 4�� -o�S <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. � � t� <br /> OWNER ADDRESS ZIP PMONEa/�535401�12 <br /> 111�L.,�,� � , BAR2rNCzC-R � (aa 6QAu� A�+�. �'�6,R�-rr wa, qg�o , <br /> TENANTNAME I CONTACTNAME PHONE <br /> iM11. �. BARk�NGE�2 <br /> CONTRACTOR 5�LF ADDRESS ZIP CONTR.LICENSE N <br /> �•hE+ n S r4 BO J C <br /> PHONE <br /> PROPOSED USE OF BUILDING [�Building I-'1 Mechanical Addition HEAT SOURCE <br /> R2S�()�NT� ��— PERMIT �_) Combinalion K Plumbing WORK � Alleratlon I7 Elaclric <br /> TYPE D Demolilion LJ Sign TYPE New � Gas <br /> U Sprinkle� Repair/Mainl. Other <br /> CONTRACT PRICE OF WORK / p b i7�� CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> l0 <br /> WOPK DESCRIPTION 5 I�ee-r 1G�G K � �ti�v L a"T'� o A1 � PO w �� '� L��I}T�u 6, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM N0. TYPE OF FI%TURE OR REM <br /> WATERCLOSET _ A/C—A/HANDLINGUNITS <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 WATFR HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RANGE <br /> BACKF�OW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER _ OTHER <br /> 1 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br /> S7ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7827 RCW AND 296.200 WAC. <br /> �✓'�'-�,-v�.,`���vrr-�-� /-�3/02 <br /> Signature of OwnedContractodAuthor' Agent Date <br />