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— — -- , <br /> � Pf�MIT APPLICATIC � <br /> CITY OF EVERETT PERMIT SERVICES � <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857 ' <br /> SITE ADDRESS a�� ��'aq A PARCEL TAX I.D.N PERMIT 7 II <br /> � 63ao ll C ,� ,�r a801fdaoo3o� �oo �� Sbl - �- ' <br /> LEGA L07N0. BLOCK TRACT I <br /> DESC. <br /> OWNER ADDRESS 21P PHONE <br /> Wl�r1-i �� ���ee�C t1o�,�1�5 <br /> TENANT NA�d��eC� ' I CONTACT NAME PHONE � <br /> I �� I <br /> CONTRACTOR A��RESS .� ZIP CONTR.LICENSEd � <br /> 5-{�-�-e �►I��l�a.n�c.�� �o . Goa liic%sfry A��✓e 8 qJ`�.9u ST�Mc i4i c 7 I <br /> PHONE T„kw�la , w R' I <br /> a CCo S 7� �So?� I <br /> PROPOSED USE OF BUILDING � Building f-1 Mechanical li Addition HEAT SOURCE I <br /> PERh11T Gamhinalion �� Plumbing WORK ��� Alleration Electnc <br /> TYPE Demolition LJ Sign TYPE �j New � Gas <br /> Sprinkler U P,epau:�damL Olher <br /> CONTRACT PRICE OF\NORK CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> I WOFK DESCRIPTION <br /> � i hs{�l� plo�, l��ny 2f h�w le��n-F 5 pQ�e <br /> �� PLUMBING MECHANICAL <br /> � NO. TYpE OF FIXTURE OR ITEhi N0. TYPE OF FIXTURE OR ITEM <br /> _(Q_ WATER CLOSET _ A/C-AlHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS � <br /> _� LAVATORY (WASH BASIN) _ HEAT PUMP � <br /> SHOWER UNIT HEATEPS <br /> KITCHEN SINK 3 DISPOSAL CIOTHES DRYER <br /> � DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY Vt'ATER HEATER <br /> CLOTHES WASHER METALFIREPLACEiSTOVE <br /> � URINAL _ FIREPLACE INSERT <br /> � DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING , <br /> � = SINK (SEFVICEBAR/610P1ETC.) = EXHAGST FAN II <br /> OTHER OTHER <br /> � not wa.feo hi4e- e� (e/eo�lr�c� <br /> — — ', <br /> i <br /> I 4EREBY CERITIF'f'HAT I HAVE READ AND EXAMINED THIS APPLICA7ICN AND KNO�V THE SAh1E TO BE TRUE AND CORRECT. ALL ' <br /> PROVISIONS OF L11NS AND OFIDINACES GOVERNING THIS 1YPE CF WORK WILL BE CO�dPLIED YVITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUAIE TO GIVE AUTHORIIY TO VIOWTE OR CANCEL THE PFOVISION OF ANY OTHER I <br /> STATE OR IOCAL I.AW FEGUL4TING CONSTRUCTION OR THE PERFCPAtANCE OF CONSTRUCTION. THAT I A�d AUTHORIZF.D BY THE <br /> 06VNER OF THIS PROPE EPFORM THE WORK POR WHICH APPLICATION IS A1ADE AND I COh1PLY WITH THE STATE i <br /> CON7RACTORS LAW R 'N AND 296.200 WAC. I <br /> /S/'S <br /> Signalure cf 0� r,�Contract /Aulhorized Agent Date <br /> ----- ------ - --- i <br />