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� <br /> � ( � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 / <br /> 425-257-8810-FAX 425-257-8857 � I� �U� "� I <br /> !�-� <br /> SiTE ADORFSS PARCEL TAX I.D.N RMIT N � <br /> �f�� ,s bLyM01c pR. GU3 `I �f00000S/oo • -O�S <br /> LEGA LOTNO. BLOCK TRACT <br /> oesc. s -p O .✓e.� ( k s t f19a� <br /> OWNER ADDRESS ZIP PHONE <br /> + q&vr2� 779 3 C SB <br /> f� �Q•..KJr �0. I1 � 5�� /.27.2 ENto- - I� I� ��IsOi' �drlo.ils LJ.. <br /> TENANTNAME CONTACTFORPERMR PHONE <br /> l� // ;x,+ti Al�r �-. I L-V ' l l uw� Ia IcC✓�' G4 �I:Zs .2vv os6') <br /> CONTRACTOR ADDRE33 LP CONTR.LICENSEM <br /> PHONE <br /> PROPOSED USE OF BUILDING �Building Q Mechanical Additlon NEAT SWRCE <br /> /µy� ,rAr„11�,r PERMR Combination �] Plumbing WORK �PJteratbn D ElecUic <br /> s � TYPE Demolition U Sign TYPE New D Gas <br /> ��C���� Sprinhier RepairlMaint. U Other <br /> ! <br /> CONTRACT PRICE OF WORK � SO O 2� CRY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> WORKDESCRIPTION ��( bow�/ <br /> Danto cx ; c�� ••S C�e e.l' a-�,c�' �j�""S E . Rrb.�. �a�l qe��y� c.� ac e- <br /> �oU..-� u.�+.s( nc ..� t�[ c_k. <br /> �r SG r��� <br /> ,�� �C c"�� F--�...tt.S �� [� L��x<�+ <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR REM <br /> WATERCLOSET _ AIC-AIHANDLINGUNITS <br /> BATHTUB _ FOFCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) ,_ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK&DISPOSAL _ CLOTHES DRYER 1�, <br /> DISHWASHER _ RANGE HOOD 7 V�' <br /> LAUNDRY TR.\Y _ WATER HEATER . 7-� <br /> CLOTHFS WASHER METAL FIREPLACElSTOVE <br /> URINAI_ _ FIREPLACE INSERT �� I <br /> DRINKING FOUNTAIN _ GAS FIREPLACE _n D � <br /> FLOOR DRAIN _ GAS RANGE �Y � <br /> BACKFLOW PREVENTER _ GAS PIPING � <br /> SINK(SERVICE/BAR/htOPlETC.) _ EXHAUST FAN <br /> OTHER _ _ OTHER <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 NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AU RiOR12ED BV THE <br /> OWNER OF Tt11S PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> l �' /�ll�G- g-.zs-�� -- <br /> Si�t r of OwnedContractodAuthonzed Agent Date � <br /> -, �G <br /> DFBIT& CREDIT CARDS ARE NOT ACCEPTED <br />