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P�RMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> � �J 03d7'o17 <br /> SITE ADDRESS � PARCEL TAX I.D.k • PERMIT� <br /> �'j L � 3��65 t�iSOD ' �33 <br /> IEGA LOTNO. / /B�L.00 TRACT <br /> DESC. �S l�- /b C�J ��iI�I /'� rS // <br /> OWNER / ADURESS ZIP PHON � � <br /> �:�iryr�� �, l��-L_,�-`7- D � .t�k �'�.��L��D�����6 3U�-�s <br /> TENANTNAME I CONTACTNAME PHONE <br /> � UvC.J /!77!/Lf�!'! G/��-3�/�-/So�o�. <br /> CQNT ACTOR � � ADDRESS LP CONTR.UCENSEN <br /> �f�i-•;�����, � y �'3/ �9�j UPi�cJ �y � �}i�/y�t�/D/3 <br /> PHONE� i----��� /CJ '�S �J /"t��/CFI � �0 CGL� <br /> 1� 71���/A <br /> PROPOSED USE OF BUILDING BUilding � MeCtlaniCal Addition HEAT SOURCE <br /> �� PERMIT Ombinalion Plumbing WORK Atlernlion EI <br /> � ) \ /�/ TYPE Demolition Sign TYPE ew as <br /> �J��/ ��i.i� Sprinkler RepairlMeint. Olher <br /> CONTRACT PRICE OF WORK ��jv /1�'��) CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> O < < <br /> WORK DESCRIPTION <br /> (-�P�-� -�-���� ���� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM N0. TYPE OF FIXTIiRE OR REM <br /> WATER CLOSET A/C-AIHANDLING UNITS <br /> � BATHTUB .� FORCED AIR SYSTEMS <br /> � LAVATORY (WASH BASIN) _ HEAT PUMP <br /> � SHOWER UNIT HEATERS <br /> ,�? KITCHEN SINK& DISPOSAL �_ CLOTHES DRYER <br /> _� DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY a- WATER HEATER <br /> _,�� CLOTHES WASHER _ METAL FIREPLACEISTOVE <br /> URINAL FIFEPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> i _ BACKFLOW PREVENTER GAS PIPING <br /> I _ SINK(SERVICE/BARJMOP/ETC.) EXHAUST FAN <br /> � _ OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED ThiIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRFCT. ALL <br /> PROVISIONS OF LAWS AND OFIDINACES GOVE�NING TH�S T'PE OF WORK WILL BE COMPLIED WITH VIHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PPESUTAf:TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF:NY OTHER <br /> STATE OR L A LAW REGU ONS ION Oa THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> ON'NER 0 rIS ROPER O PERFORP�t T W RK FOR WHICH APPLICATION IS MADE AND I COMPLY Y�ITH THE STATE <br /> CONTR ORS W 1 7 RCW AND 296.2 A . <br /> � <br /> Signat o Owner/Con ed Agen ate <br /> IL <br />