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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 0� � � - D�/ <br /> SITE ADDRESS PARCEL TAX I.D.�1 PEPMIT K <br /> 13l � ��E�► �. 00�1-�3�` � � �o� / - o� <br /> LEGA LqT NO. C'/� ��L�� TRI�T�fib�� d����µ ,�• <br /> DESC. � Jr" K <br /> OWNER ADDRESS ,�P` /� E ,.. <br /> �v �Z <br /> -� �,t�.o l��u (l.;r �d �c�� ( 5Z� S�,I�GJ M�i sN�w�. ' <br /> TENANT NAME I�C��NA��� ���� ������� <br /> CONTRACTOR rNG . P ��IS\�1 J � 1V Z� � SL' t'�En� �� K <br /> 56.�c,D b cv�, <br /> PH NE <br /> 3 J� <br /> PROPOSED USE OF BUILDING I� Building fl Mechanical � Addition HEAT SOURCE <br /> S� � PERMIT K Combination F_� Plumbing WORK Alteration � Electnc <br /> TYPE �( Demolilion Ll Sign IYPE New Gas <br /> LJ Sprinkler RepeidMaint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> WORK DESCRIPTION <br /> � ����ZTS��-� rr��►�� 1����s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF flXTURE OR ITEM <br /> WATER CLOSET A/C—A/HANDLING UNITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> � LAVATOAY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL � CLOTHES DRYER <br /> DISHWASHER � RANGE HOOD <br /> � LAU�v6�iY TRAY � WATER HEATER <br /> �__ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> � URINAI FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SEFVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HFFiEBY CERITIFY THAT i HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PR�VISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK W�LL BE COMPLIED WITH WHETHER SPECIFIED HI_REIN OR <br /> NO'i THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AIJY OTHER <br /> STATi•OR LOCA�.LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZEO RY THE <br /> OWNER U�-i HIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THt STATE <br /> CONTRACTORS�L/q�W 1827 RCW AND 296.200 WAC. ����/O� <br /> n ture of O ner/ConiradodAuthonzed Agent Date <br /> s� ���a5'� <br /> �� <br />