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P�RMIT APPLICATid�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-88:i7 � <br /> �'��) �v7 ` v 15 <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT k <br /> / ~�' Ca3� 7-or <br /> LEGA LOT NO. ^IBLOCK TRACT <br /> �ESC. � •/O G!- � V /-I Q6G�= ��r � <br /> � r <br /> 6WNER AUDRE55 � pHONE <br /> ��d.vNi .r_ / ..—,y�,�., - 3.,'1,Z9 f��--Txor.�,v� -Fv�xc:-rt- 48z�( - �fza=339-9c�9 <br /> TENANTNAME I CONiACTFORPERMIi PHONE <br /> S �r���,-�cxJ �/�S- 33�� - 9n�y . <br /> CONTRACTOR S/�HL S OQ)M1L� AODRESS � ZIP CONTR.LICENSEA <br /> PHONE <br /> 3 KS <br /> PROPOSED USE OF BUILDING �f Building Mechanical (7 Addllion HEAT SOURCE <br /> I PERMIT K Combinalion Ru Plumbiny WORK �� Alteralion Eleclric <br /> S � 7YPE �_( Demolilion U Sl�n TYPE p[1 New �Gas <br /> �� Sprinkler L7 Repalu'MainL L� 01her <br /> CONTRACT PRICE OF WORK CITY OF EVERETT IOCAL SALES TAX CODE IS�105 <br /> i <br /> WORK DESCRIPT�ON — <br /> I, <br /> r; <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> ,� WATER CLOSET(TOILET) AIC-/VHANDLING UNITS <br /> � BATHTUB � FORCED AIR SYSTEMS <br /> ,� LAVATORY(WASH BASIN) HEAT PUMP <br /> � SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL � CLOTHES DRYER <br /> � DISHWASHER � RANGE HOOD <br /> IAUNDRY'iRAY � WATER HEATER <br /> � CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN ^ GAS RANGE <br /> BACKFLOW PREVENTER � GAS PIPING <br /> _ SINK(SERVICE/BARlMOPlETC.) � EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I fiAVE RE�D AND EW+MINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV�SIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORI<WILL�E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERh11T DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOUITE OR CANCEL THE PROVISION OF ANY OTHER <br /> 5TI1TE OR LOC�L I.l�W REGULATING CONSTRUCTION OR THE PERFORhiANCE OF CONSTRUCTION. THAT I AA1 AUTHORIZ[D BY THE <br /> OWNER OF THIS PROPERTV TO PERFORhi THt WORI(FOR WHICH APPLICATION IS h1ADE AND 1 COMPIY WITH TfiE STATE <br /> CONTRACTORS W 8.27 RCW AND 296.200 WAC. <br /> ._/,� ���Y ��$ -�3 <br /> Sig ner o raclodAulh6rizedAgenl Dale �L <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />