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PERMIT APPLI�ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS �73cS Z�'� l�L. SE pARCE�.TAX I.D.# PERMI� <br /> t��,� ,-, w� yh�3 Lb34zo •0.x� �oz.�-d� ��i��8' <br /> LEGAL �OTNO. BLOCK _'TJRA� CT -jhd�'J �+��a�i^2n� <br /> DESC. 3 �-Y�y�-�- Ut^'zFz'I I�CF{`+AE�€---1�si-'� <br /> OWNER ADDRE55 ZIP PHONE <br /> �jRu�l����� �-�n�es; ��.�c� 3Zz`} 1,�1E-n,��-fx #� ic ����� `18z�.i �zS- �3�-tio75 <br /> TENANT NAME CON7ACT FOR PERMIT PHONE <br /> ��tvL I�A��-4vi �zS- �37- 4�74 <br /> CONTRAC70R ADDRESS ZIP CONTR.LICENSE# <br /> PHONE ��'���.�E. AS (, V. Jr�L� C11ZR+.�l7R1C13k5 <br /> PROPOSED USE OF BUILDING Building I� MCchaniCal Addilion HEAT SOURCE <br /> PERMI7 Combinalion ��� Plumbing WORK Alteration !n-y Electric <br /> C 7YPE � Demolilion I� Sign TYPE New .�t Gas <br /> � T (�-- Sprinklef RepaiUMaint. U Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS]705 <br /> WORK OESCRIPTION <br /> t3A�1C � Z�7Z <br /> PLUMBING MECHANICAL <br /> N0. 7YPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> yZ WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> � BATHTUB J_ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAi PUMP <br /> L SHOVVER UNIT HEATERS <br /> 1 KITCHEN SINK&DISPOSPI. � I;LOTHES DRYER <br /> � DISHWASHER I RANGE HOOD <br /> LAUNDRY TRAI' � WATER HEATER <br /> _L CLOTHES WASHER 'v1ETAL FIREPLACE/STOVE <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 I <br /> � I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOLN THE SAME TO BE TRUE AND CORRECT. AL� <br /> . PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TY[�E OF WORK WILL BE COMPLIED WITH INHETHER SPECI�IED HEREIN OR <br /> I NOT. THE GRNNTING OF A PERh11T DOGS NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LA6V REGULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AA4 AUTHORIZED BY THE <br /> OWNER OF Th:15 PROPERTY TO PERfJRM THE WURK FOR WHICH APPLICATIUN IS MADE AND I COMPLY VJITH THE STi1TE <br /> CONTRACTORS LAW 18.27 RCW A D 296200 WAC. <br /> ��. ��t� �— J e �.� � <br /> Sig o wnedConlractor/ uthonzed Agent Date �/i <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />