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PtRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PA//RCEL TAX I.D.# P/f R,�MiT# �SI� <br /> S � �'.�c ,e oo d��� ooc �c�3 00 1�3�5- �.f <br /> LEGA LOT NO. BLOCK TR � <br /> DESC. <br /> OWNER �� AD RESS ZIP PHONE <br /> /J{�� I�����n��� ��y��ts.�lr � -� .��i ,!A- 9�ao�i �/as��r�9 369v <br /> NAN - E I CONTACTFO PE iT PHONE <br /> G�.�}/' �l�i2ra:� �2 S- �'79�-3�9%7 <br /> CONTRACTOR AO SS ZIP CONTR.LICENSE 11 <br /> /`1 <br /> PHONE U� A n n J <br /> ��.J�i u <br /> PROPOSED USE OF BUILDING pERMIT Combination u Sign b n9 I TYPE �j NeP�uMaint. HEAT SGa�c <br /> 7YPE Demolition U <br /> ' Sprinkler U Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> WORK DESCRIPTION ���� � „/� _ /i w �/ �`11 jNC- 7/ _e CJ/— �l/ �/J�vf,'�� <br /> Gl iC U� <br /> I � <br /> �a� 3� <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(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE H000 <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPIACE <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 HAVE READ AND E%AMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING ONSTRUCTION OR THE PERFORhtANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS.PROPERTY T P, FORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACT RS LAW 18.27 ND 296200 WAC. <br /> " 62'� <br /> ig on acrodAuthorized Agent Date �/a <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />