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P�r2MIT APPLICATIOnI <br /> CfTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TN(I.D.# PERMIT t� <br /> oo93q 00000s�ao �'�`+�5-009 <br /> LEGAI. !OT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> L� f/�uS��2 13 � S- Gwu�P�c ��e. - <br /> TENhNT NAME CONTACT FOR PE MIT PHONE <br /> ' 2'�-� V"�u�iYlK,4 '�o C�a P�v54 �ZS��2�1$—'i3"7�1 <br /> CONTRACTOR ADDRESS ZI CONTR.LICENSE N <br /> �u�� C'a. Pu3e ��L . (�.0 6�51 �o�s g�o2� Souz�l�e��}3o2 <br /> PHONE <br /> �-FZ� — '1 '1 S—'l�'T� <br /> PRO�SED USE OF BUILDING pERM1T t—( Spnnk'leation �j Plumbinga' WORK � Repa r/Maint. HEAT SE e�E <br /> 5 ` ���� TYPE F_� Demolition U Sign IYPE New � Other <br /> Jfc.t.�J • �J <br /> CONTRACT PRICE OF ORK CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> C ��-�2S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> I WATER CLOSET(TOILET) _ A/C—AIHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> l LAVATORY(WASH BASIN) _ HEAT PUMP <br /> �_ SHOWER _ UNITHEATERS <br /> _{_ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOC <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPIACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOk DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/B ,R/MOP/ETC.) _ EXHAUST FAN <br /> � OTHER i z �. �_ _ OTHER <br /> I I HEREBY CERITIFY THAT I HAVE READ AND E?(HAIWED THIS APPLICATION AND KNOW THE SAME"i O BE TRUE AND CORRECT. ALl � <br /> I ?ROVISIONS OF lAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED`NITH WHETHER SPFGFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT�OES NOT PRESU6IE TO GIVE AUTHORIN TO VIOL4TE OR G:..':CEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNF�$OF THI PROPE TY TO PERFORM THE WORK FOR WHICH APPUCATION IS MADE AND I COMPLY WITH THE STATE <br /> CON;RA151 OR W 18. RC'N AND 296200 WAC. <br /> Ic� <br /> SignaiwFb wnev tra or/Authonzed Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />