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C <br /> � PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.U.x PERMI7 p <br /> toG�z 1s-r Avc SE <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AUDRE55 LP PHONE 3bp- (p7S'SC� <br /> w'i��IAMS, IOE '��. Be�K 328 oFlK. �I�Rr3o�, t,�A 98a�7 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> DEBI Sr�-1PEL 3�o-�lq-SL2g <br /> CONTRACTOR HcArz�ru R N�ME ADDRESS �z7 N��c-� r2o LP CONTR.UCENSE� <br /> PHONE ��C _�D'7� _ OZZg �AK � ����(L� W,A98277 (�[ARTN'1RC�JJ[�� <br /> PROPOSEDUSEOFBUIIDING I pERMIT 1--( Sp nkle lion � PI mhbing I WORK � R�a'M in1 I HEATSO�UR��E <br /> �ES I DC IJT�AL TMPE H Jemolilion U s�qn nPe New Ky Gas <br /> LJ IJ <br /> CONTRACT PRICE OF WORK ,Z�j OO�O O CITY OF EVERETT I.00AL SALES TAX CODE IS J705 <br /> V/ORKDESCRIPTION '�N �Tw�LL G/� S :1 NSt12T G•4s P1PlNCj� CA-"+ 771NIC <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR REAI <br /> WATER CLOSET AIC—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 YJATER HEATER <br /> _ CLOTHES WASHER � �AETAL FIREPLACFJSTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER = GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE CAMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUUITING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT I AM hUTHORIZE�BY THE <br /> OWNER OF THIS PROPERN TO PERF6RM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITM THE STATE <br /> CONTRA�T`ORS�AW 18.27 RCW AND 296200 WAC. <br /> �l�Lzc ,�-fi�lx.� 5/d�/o3 <br /> SignaWre of OwnedCoNracto/Authonzetl Agenl Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> (�'1 o3oS—oy C7 <br />