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r <br /> PtRMIT APPLICATI�N � <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.# PERMIT# <br /> ayo6 oA-K�.S oD 34 �ssoo3000 Bo3°9_Oa9 <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. 3 O S S 0^O� <br /> OWNER ADDRESS 21P PHONE <br /> ST�P�y JoNN ��/} � llH*"� /}-VL 5 �- �kK�Srt�� 9$ZS� <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> '—�_ .gd�� Sr�Pcv y�S-�37-11 s� <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE N <br /> PHONE <br /> PROPOS�U� F BUILDING TMPEIT �pm kl'tlon�n I� Sign b n9al T�E �Repar/Maint. HEAT SO��c <br /> 2 <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION ' <br /> vPu�r�n�G w ,.vcmug TµkevtNovr Ko�^+�� �QiPikc.,wG wrwaews <br /> o.v No�Tµ S/OL w�re+ S�!-µ+25tzi w , .u�ews ,tNo ktG«,c,ws �£ So�r� S�vs <br /> c>� PFo-wL. Nkr� N�ONjS m .v N�TiJ. 5 rAi A-�£.. �elc�o �'X36 A-NO �-�+ a8 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OP 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 .;ASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WNTER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKINc;FOUNTAIN GAS FIREPLACE <br /> FLOOR GRAIN GAS RANGE <br /> BACKFLObV PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOPIETC.) EXHAUST FAN <br /> = OTHER = OTHER / <br /> — _ / <br /> _ / <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED 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 SPECIF!ED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUAIE TO GIVE AUTHORITY TO VI0�4TE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 9Y THE <br /> OWNER OF THIS PROP TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACT S W 27 0 WAC. <br /> � q <br /> I ( B <br /> Signature � nedC ract /Authonzed Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />