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I <br /> PERMIT APPLICATION �=��'�'����� D <br /> CITY OF EVERETT PERMIT SERVICES ' ' -' H-K i z 2004 <br /> 3200 CEDAR STRFET, EVERETT, WA 98201 <br /> 425-257-8610-F,4X 425-?57-8857 <br /> _. ..... ...... <br /> ,- r� t�F EVERET <br /> SfTEADURESS PARCELTAXI.D.# p���r�+��itUrPuhlicSeNiC S <br /> �,3G0 Mt(LfZI�� C.u1�E�i� 2�oyo2- c�o3o- lZoo ` �0�� 00�7 <br /> LEGA LOT NU. OLOCK �TRACT — <br /> DESC. <br /> OWNER ADDRESS 7JP PHONE Z�� <br /> 1;,��syw�-r.�� �Io��Nc,s �,00 t,a �v���rrt 5� , "282.0 n X l01 �i 3- s3oc� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> r1��tRu,� C.�i�< 6asw�5� Cca-r��tl. ��E�'F �(��lr� ZS3 sSSZ- 13S�-I <br /> CUNTRACTOR �vC�nT� JIG� CU A�DRESS '�13 S, �C�3TM` Z�P CONTRUCENSE� <br /> �I�S03Z... <br /> PHONE ZS3 �5Z- I3S�� t"�JEILGSCO`6`6�� <br /> PROPOSEDUSEOFBUILDING Building MeChaniWl Additian HEATSOURCE <br /> MUL-11'TIN� PERMR COmbinatiUn � PlUmbing WORK LR1Alleralion Electric <br /> TYPE � Demolition Sign TYPE 6 New I � Gas <br /> Ccr�I�E�LC1 A L Sprinkler RepairiMainl. Other <br /> CONTRACT PRICE OF WORK �O��O� CITY OF EVERETT LOCAL SA_ES TAX CODE IS 3105 <br /> � <br /> WORKDESCRIPTION ONF YRCES�NI�I�V�j SI�;C�LE— SIDE1� 1 �OIJ�M�Isj' SIVN <br /> �2 Dn�v� i,.;n� �ti�-rrZ� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATFRS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DQYER <br /> DISHWASIiER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATF.R <br /> CLOTHES WASHER � METAL FIREPI.AC�J OVE <br /> URINAL FIREPLACE INSE <br /> DRINKING FOUNT � GAS FIREPLA <br /> FLOOR DRAIN GAS RANG <br /> BACKFLOW EVENTER GAS PIP G <br /> SINK(SE CE/PAR/MOP/ETC.) EXHA T FAN <br /> _ OTHE OT R <br /> I HEREBY CERITIFY THAT I HAVE READ�ND EXAMINED THIS PrpLIGATiON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAVJS AND ORIDINACES GOVERNING THIS T'PE OF WORK WILL BE COMPLIED N7TH WHETHER SPECIFIED HLREIN OR <br /> NOT. THE GRAMTI�G OF A PERMIT DOES NOT PRESUME TO GIVE AUTIiORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR Al L'�,W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTtI0R12ED BY THE <br /> ONMER OF S P�i^PERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS 1+1ADE AND I COMPLY WITH THE STATE <br /> CONTitACT R �� 1827 RCW AND 29G200 WAC. <br /> J�F� ��t�-�"'� �,�2 �p r �-�'� <br /> Signature of Owner ontraqor/Authonzed Agent Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED �L <br />