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- � . <br /> P�RMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR Sl'REET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT x <br /> ,c O ts A�. c'����l.��j l (vG 100�1� 1'`nv5cy-oo3 <br /> LEGAL LOTNO. —r 6LOCK TRAGT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> �v�f Il;'rcH���sG� ��09 �A-KEs A-V�P 9��' � �fZS-zss�-2�ivZ <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> � �('�yh-n�' R'�DGc �� y ?� ��S-(r�-l��1 <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> D.�Y a- n�i� PtmGC� �-I-hTG— lLG(�l 13.� � GU. `i��7 DAY�'SP�ay�(c <br /> PHONE �7 <br /> yZ�' 1�S"�CO �I ���"� <br /> PROPOSED USE OF BUILDING f� Building 15� Mechanical �Adtlilion HEAT SOURCE <br /> PERMIT K Combination ?_� Plumhing WORK Alteralion �Elecuic <br /> J � � TYPE �..j Demolition Ll Sign TYPE New Gas <br /> LJ Sprinkler Repair�Maint. Olher <br /> CONTRACT PRICE OF WORK ,�' GL//'>� �? CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l Vl/ /L� <br /> WORK DESCRIPTION �LCCI; <br /> �GJ�C r�GE �X I ST7 N C'r !�§ ru��}C� (.t1/'TIi n/eG�) <br /> C 5 rr,�P�lv�-G�� �1vD cxisnNG� C�Ecn2�C; hbT iVA�T�t- T-A�K <br /> tti'�i r� - -s� - or uATL�"� K � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) :!C—AlHANDLING UNITS <br /> BATHTUB _L FORCED AIR SYSTEMS <br /> Ll�VATORY(WASH 8.4SIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> � FLOOR DRAIN GAS RANGE <br /> � BACKFLOW PREVENTER � GAS PIPING <br /> SINK(SERVICEIBAR/NOPIETC.) EXHAUST FAN I <br /> I _ OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HA\'E READ AND E,`CAhll�ED THiS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL i <br /> PROVISIONS OF LAWS AND ORIDINACcS GOVERNIP G THIS NPE OF 11'ORK WILL 6E COMPLIED WITH WHETHER SPeGFIED HEREIN OR . <br /> � NOT. THE GRANTING OF A PERPd1T DOES NOT PRE:SUME TO GIVE AUTF JRITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER I <br /> STATE OR LOCAL L:1VJ REGULATING CONSTRUCTICN OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> � WNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> .ONTRACTO W 18.27 RCN'A 296.2Q0 WA . I <br /> ' n �� <br /> �h� ,�� / 9-� .� <br /> Signature f O� nContractor/Authonzed A�en ]ate <br /> ; DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED ; <br />