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PERMIT APPLICATION <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.# P MIT a <br /> 6603 OLYriP(c U� � -s'� oo39Z9oi0008�00 � � <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. 8 (O (3EVERLy (��� LS <br /> OWNER ADDRESS 21P PHONE <br /> PAs< < r� s. TEKKRG'o 6603 o�YMP�c p�.SE �vERE7I �(� zc3 Kzs-348 o3sv <br /> TENANTNAME CONiACTFORPERM�T PHONE <br /> p�e��r� s, 7-ERKROo CyAR�Es puDtEy k2S'-Z32- 3S6� 7 <br /> CONTRACTOR c yA,QC Ei OuDL CY ADDRE53 ZIP CONTR.LICENSE K <br /> P/oNE£h' /{c.�E St?�P�I�Es <br /> pHONE �Z$= 232- 3SE7 P° BoK H66 S'NoNoMrsy 9829/ P/oNEJ/S 999NM <br /> PROPOSEDUSEOFBUILDING pERM1T � Sprinklleation U Plumbng I WORK k( ReprairlMain�, HEATSEe�E <br /> TYPE Demolition U Sign TYPE �.�� New Gas <br /> LJ Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX COOE IS 9105 <br /> WORK DESCRIPTION o�sE, <br /> pEne� isN EXrsT�Kc- ADD�Tial✓oNN �E co,PK KooF No �•sF. <br /> c•oKs i R���7 NP w �laDiTio�✓ <br /> , <br /> ,7l�Zs <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0, TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—AlHANDIING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) 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(SERVICE/BARlMOPIETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I I HEREBY CERITIFY THAT I H4VG READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> I PROVISIONS OF L4lNS AND ORIDINACES GOVERNING 1HI5 TYPE OF WORK VfILL BE COMPLIED WITH WFIETFIER 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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEftTY TO PERFORM THE WORK FOR�VNICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7827 RCW AND 296.200 WAC. <br /> C�.,�- �� 3 -3 �— oN <br /> Signature of OwnerlCont cror/Authonzed Agent Date � <br /> �2 <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />