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�cRMIT APPLICATI�,N <br /> CITY OF EVI=RETT PERMIT SERVICES <br /> 3200 CEDAf2 STREET, EVf=RETf, WA 98201 � ;� <br /> 425-?57-8810 — FAX �125-257-8857 " �� ` <br /> p�� �.� � ���� <br /> SITE ADDRESS I� PARCEL (AX I.D.# PERMIT tt <br /> a �/��-- Oa S3i� co� c� o C� 3�'fp - <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. � �P a — O3 >� � (i. <br /> OWN R � � ADDRESS ZIP PHONE r,��� <br /> ' /y/e C� .�. �l�ad- ��.� ,I�z.� �la� 3 , �,� <--. _ �,� <br /> _� � <br /> TE NT NAME I CONTACT FOR PERMIT PHONE <br /> I <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE N <br /> PMONE /����� �- � <br /> PROPOSED USE OF BUILDING Building Mechanical Additlon HEAT SOURCE <br /> PERMIT R Combinali0n R Plumbing WORK R Alterellon � ElecVic <br /> `�/�/� TYPE g Oemolilion D Sign TYPE g New Gas <br /> f I /`--� Sprinkler Repair/MainL Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> WORK DESCRIPTION <br /> �i,U/!�/�.'�+ !"� -FU,i' �j,t/.�� !'�-Cut CrL--. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE 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 /> DISHWP.SHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> I _ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> i _ URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> I _ FLOOR DRAW _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> � SINK(SERVICE/BARlMOP/ETC.) EXHAUST FAN <br /> � OTHER . OTHER <br /> I — — <br /> — , Q — <br /> -- i <br /> i NGREBV CERITIFV THAT I HAVE READANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL � <br /> PP.OVIS104S OF LAWS AND ORIDINACES GOVERNIN i THIS TYPE OF 1YORK WILL BE COMPLIED WITH 1YHETHER SPECIFIED HEREIN OR I <br /> tiOT. THE GRANTING OF A PERAIIT DOES NOT PRESUME TO GIVE AUTHORITr TO VIOLITE OR CANCEL THE PROVISAN OF P.NY Oi}IER <br /> ' STATE OR LOCAL LAW REGUL4TING CONSTRUCTION OR THE PERPORIdANCE OF CONSTRUCTION. TNAT�AM AUTHORIZED BY THE i <br /> OWNER OF THIS PROPERTV TO PERFORId THE VJORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITH THc STATE . <br /> COVTPACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SignaWre of ner/ConuacWdAuthonzed Agent Datc , <br /> i /a I, <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />