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P�AMIT APPLICATIGA <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />PARCEL TAX I.D. K <br />PERMIT K <br />, <br />LEGA LOT NO. <br />BLOCK <br />TRACT <br />DESC. L1 <br />1 <br />—tOW J OF L-Ovw EL-L <br />OWNER ADDRESS LP PHONF HZS-3ql-I0 <br />Ofcl c\k Qom. T,,) aj t�l �e >Jc Euctze;7 (�A8<<l, <br />TENANT NAME <br />CONTACT NAME PHONE <br />_ <br />-,Yoe1 Nac�cCc �125 Z90-2-'129 <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE N <br />hlrat�,ek Bees, CeWSTj�-,�e Tc.tir c\ 2:-, S <br />PHONE 3cQ2 �1k'�i4lf . •UE. Cui 2cT % <br />�S- 3c1'7--7at-0 N1aac� 0-1012. oi <br />PROPOSED USE OF BUILDING <br />Building n Mechanical <br />Addition <br />— <br />HEAT SOURCE <br />��N\(�LiT�U�% <br />PERMIT Combination I1L--J(( Plumbing <br />TYPE Demolition Sign <br />WORK <br />TYPE <br />R Alteration <br />B New <br />D Electric <br />Gas <br />Sprinkler <br />Ropair/Mains. <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />bE1Y\C EXSSS AlZ-- AC,E <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM ' <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />WATER CLOSET <br />A/C—A/HANDLING UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSiEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK & DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />=LAUNDRY <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />_ <br />FLOOR DRAIN <br />GAS RANGE <br />_ <br />BACKFLOW PREVENTER <br />GAS PIPING <br />_ <br />SINK (SERVICEJBAR/MOP/ETC.) <br />EXHAUST FAN <br />OTHER <br />OTHER <br />I HEREBY CERITIFY'HAT 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 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />ONTRACTO AW 16.27 WAND 296.20 WAC. <br />-29-�L- <br />S natur o Own r/ _ rac or/,9uth ed Ag 1 Date <br />J <br />