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� <br /> PERMIT APPLICATIO�V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> I-�'_O 3 <br /> SITE ADDRESS `14iz-L � PARCEL TAX I.D.X PERMIT# <br /> ''t) E` -�La �\ ^�, �_ /Vl U3G'�l-c��U <br /> �EGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS ZIP PHONE <br /> / <br /> ._'� rV\ _._`�'� '<' Cli ] '� ���'�_ <br /> ,TENANTNAME CONTACTFORPERMIT PHONE <br /> �c��� <br /> CONTRACTOR ) ADDRESS ZIP CONTR.LICENSE p <br /> � � <br /> PHONE <br /> `IZ5 SI � - �aR � <br /> PROPOSED USE OF BUILDING BUilding f7 MeChaniCal Atltlition HEAT SOURCE <br /> PERMIT 'Combination �-� Plumbing wORK �Iteration �iectnc <br /> I--( <br /> TYPE Demolilion L7 Sign TYPE New Gas <br /> � Sprinkler Repair/MainL Other I <br /> �9- i�r <�� <br /> CONTRACT PRICE OF WORK CITY O�EVERETT LOCAL SALES TAX COOE IS 7105 <br /> WORK DESCRIPTION ' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTl1RE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> _ BATHTUB �� FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> I DISHWASHER RANGE HOOD <br /> � LAUNDRY TRAY WATER HEATER � <br /> �� CLOTHES WASHER METAL FIREPLACE/STOVE <br /> �� �' URINA� FIREPLACE INSERT <br /> � DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS f2ANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE;BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> �HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THF SAME TO BE TRUE AND CORRECT. ALL I <br /> ' PROVISIOKS OF lAWS AND ORIUINACES GOVEf�11RG iHiS TYPE OF WORK WILL BE COMPLIED IVITH WHETHER SPECIFIED HEREIN OR i <br /> NOT. THE GRANTING OF A FER�11?DOES NOT PR,;SUh1E TO GIVE AUTHORITY TO VIOLATE OR CANGEL THE PROVISION OF ANY OTHER � <br /> STATE OR LOCAL LAvV REGUWI'ING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> - OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR YVHICH APPLICATION IS MA�E AND 1 COM1IPLY WITH THE STATE <br /> � CONTRACTORS LA\N 1827 RCW AND,'.9fi200 WAC. <br /> /c= <br /> ��� ? �'�,� <br /> i� ��— c. <br /> Signature o�OwnedCortlrect6rr uthorizetl Pgent ' L'ate <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />