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� Pq;MIT APPLICATIO+C� � � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857 V/� <br /> , l�i� Nb� - � <br /> SITE AUDRESS PARCEL TN(I.D,p p RMIT p <br /> - .vs.' _ Do 3°! z o .- o00 -oz��, � / _ al�- <br /> DESC. �OTNO. BIOCK TRACT �� Q <br /> s s,_ <br /> OWNER ���Q �_ �iY�v �Ac,z,�.�- /�.-L�TS <br /> �p��`� / ZIP PIIONE <br /> �1Y1'�l�LIL=�fYY.y-��s__r�o2� �tK7lhY�-�/�J / ( 7r7T KILL'�'7��-/'/��] <br /> TEfIANTNAME I CONTACTFORPERMIT PlIONE <br /> � <br /> 1•r�.� !1'�,zrzrv_.� /-/G:,= �7- <br /> GONTRACTOR �'A�C ADDRE33 ZIP CONTR.LICENSE� <br /> � �s C��� <br /> PHONE <br /> PROP09EU USE OF BUILUIN6 Building (((��� Mechenlcal Addlllon HEAT SOURCE <br /> /' PERMIi �ombinallon � Plumbing WORK �AlleraUon �Ekclric <br /> �-r� TYPE Demolillon Slgn TYpE New Gae <br /> Sprinkler Repalr/Malnt, p�� <br /> CONTRACT PRICE OF WORK I CITY OF EVEREiT LOCAI.SALES TAl(CODE 19 J10S <br /> WURK DESCRIPTION <br /> P��� � Z rgZ <br /> PLUM8IN(3 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO.. TYpE OF FIxTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-NFIqNDLING UNITS <br /> � BATHTUB � FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> __(_ SHOWER UNITFIEl1TER5 <br /> ,� KITCHEN SINK 3 DISPOSAI ,� CLOTHES DRYER <br /> ,� OISHWASHER ,� RANGE HOOD <br /> LAUNDRYTRAY <br /> ,L CLOTHES WASHER � N/ATER HEATER <br /> _ URINAL _ METAL FIREPIACE/STOVE <br /> _ DRINKING FOUNTAIN _ FIREPLACE INSERT <br /> _ FLOOR DRAIN _ GAS FIREPLACE <br /> _ BACKFLOW PREVENTER GAS RANGE <br /> _ SINK(SERVICE/BAR/MOP/ETC.) GAS PIPING <br /> _ OTHER � EXHAUSTFAN <br /> _ OTHER <br /> I HEREBY CERITIFY TW1T I HAVE FEAO AND EJ(AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. AlL <br /> PROVISIONS OF LAWS AND ORI�INACES GOVERNING THIS TYPE OF WORI<WILL OE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT UOES NOT PRESUME �GIVE AUTVIORITY TO VIOUTE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR'i HE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TIIE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.21 RCW ANU 298.200 WAC. <br /> ��S ���5, /-i 9-0 � <br /> Signa ure o �wnuacmnnutnonzetl Agenl Uale <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED '�Z <br />