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p�riMlT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> PARCEL TAX I.D.N PEFMiT» <br /> SITE ADDRESS _ 3��7 _ 3 �D(I( -O a�'l <br /> � � `rJ� ntl.l� coD 7 B — oo I �� <br /> 3y�_ .,� e.� <br /> LEGA LOT NO. <br /> ' BLOCK TRACT <br /> DESC. ADDRESS ZIP PMONE <br /> OWNER �gZ ' ; �17t\� ZSZ'ZS <br /> �C M 'N �O'VI1-�Lf�T�� I ��J I CDL�� � P ONE <br /> TENANTNAME I CONTACTNAME <br /> AUDRESS ZIP CONTFi•LICENSE M <br /> CONTRACTOR �. ��JyJDvb l.D P 0. P�L:X� (1 Z� $PvSI���'�-ry��Z�-Z <br /> PJ"i�fX�1��S� l.L�- 1t C1 <br /> P ONE . �'�.bNoi���5*�- IY�Zryc'� <br /> L�zS L 'ZZ - S� Z— HEATSOURCE <br /> Building DMechanical Addition <br /> PROPOSE USE OF BUILDING n Electric <br /> I PERMIT Combination �j Plumbing WORK Altere�ion � Gas <br /> Si n TYPE New Other <br /> TYPE Demolition U 9 RepairilAaint. <br /> ���� Sprinkler <br /> �r CIT'�OF EVERETf LOCAL SALES TAX CODE IS 3105 <br /> CONTRACT PRICE OF WORK I El�Yrj p� <br /> WORK DESCRIPTION <br /> �1� — ��°O�� <br /> MECHANICAL <br /> PLUM6ING <br /> NO. TYPE OF FIXTURE OR ITEM <br /> NO. TYPE OF FIXTURE OR ITEM <br /> A/C-AIHANDLING UNITS <br /> WATER CLOSET FORCED AIR SYSTEf,1S <br /> BATHTUB _ f;EATPUMP <br /> LAVATORY(WASH BASIN) UNIT HEATERS <br /> SHOWER CLOTHESDRYEF <br /> KITCHEN SINK 8 DISPOSAL — RANGE HOOD <br /> DISHWASHEP WATER HEATER <br /> LAUNDRY TRAY METAL FIREPIACE/STOVE <br /> CLOTHES WASHER FIREPLACEINSERT <br /> URINAL _ GAS FIREPLACE <br /> DRINKINU FOUNTAIN GAS RANGE <br /> FLOOR DRAIN _ GAS PIPING <br /> BACKFLOW PREVENT[R EXHAUSTFAN <br /> SINK(SERVICE/BAR/MOP/ETC.) = OTHER <br /> OTHER�� _ <br /> I HEREBY CERITIFY THA7 I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAh1E TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND CRIDINACES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> $�ATE OF IOCALfIAW REGULATING CONS AUCTION OR T�E PERFORMANCE OF CONSTRUCT ON.CT AT AM�UTHORI ED BY HE ER <br /> � OWNE OF THIS PROPERIY TO PERfORM THE WORK FOR WHICH APPLICATION IS MADE AN01 COMPLY WITH THE STATE <br /> I CONTR CTORS LAW 1e2�RCW AND 2 200 WAC. <br /> � �•-�.��,��...✓�� ( � � � <br /> i--,- 4 � � lB <br /> ISignat�re o OwneUContraclodAuthonzed gent , <br />