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PE.�MIT APPLICATIGC� <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 PERMI7 w <br /> �3 �14kES /�ve. ri�azo8- ��-� <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> �ohv� G_ Sf-a-rr- l6a � Da(CPS Y�� � �8ao� C`�a3�asr- ��o8 <br /> TENANTNAME I CONTACTNAME PHONE <br /> CONTRACTOR T���l � ADDRESS aP CONTR.LICENSE N <br /> l�d.vo�.v�ce --�. ` :o� <br /> PHONE <br /> PROPOSED USE OF BUILDING Building � MeChenical Addition HEAT SOURCE <br /> PERMIT B Combination Plumbing WORK B Alteration (7 Electric <br /> TYPE D Demolition Sign TYPE D New ❑ Ges <br /> U Sprinkler U RapaidMainl. � Other <br /> CONTRACT PRICE OF WORK CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF Fl%TURE OR ITEM <br /> WATER CLOSET A/C—AlHANDLING 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 HQOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINK:NG FOUNTAIN GAS FIFEPLACE <br /> rLOOR ORAIN _ GAS RANGE <br /> BACKFLOW PREVEN7ER GAS PIPING <br /> SINK (SERVICE/BAR/MOPlETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I <br /> ' I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br /> � PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR <br /> ' NOT. THE GRANTING OF A PEflMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> iSTATE OR LOCAI LAW REGUU+TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEFi OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> � C TR TORS LA 18.27 AN 96.200 WAC. <br /> � �_ J�� � ib loa <br /> Sign of OwneUConlractodAuthorized Agenl ale <br />