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� PERMIT AQPLICA��"IC�N � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SI7E ADDRESS PARCEL TAX I.D.# PERMff <br /> -7 �o1 7' ee`�d Cverefi Wh oos9�G- _oa �S 0�}a <br /> LEGA LOTN , BLOCK TRACT <br /> DESC. c� C✓�I� � <br /> OWNER pDD E55 ZIP PHONE <br /> �itncv �i�bK6� P�13oz �9.sy L%dairH� k/� 98�0� •/7s� r.�k �/i�388' 733d' <br /> TENANT AME CONTACT FOR PERMIT PHONE <br /> .�.v,� �la�t c.y �l%e6N�,- wk �zs 3s8'�.338' <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSEM <br /> TUFf s/iEt� 8959 �'ea�,56 /�o"-`, Uni-1 0 <br /> PHONE�2s' Zs/- 8833 ��nf W� 9Pd3/ Unk�uwn <br /> FROPOSED USE OF BUILDING I � Building fl Mechanical I fl Addition HEAT SOURCE <br /> PERMIT Combination �__� P�umbing WORK �� Alleratlon I � Electnc <br /> 5-f��a t TYPE Demolition LJ Sign TYPE �X New (V Gas <br /> 9 Sprinkler LJ RepairiMaint. � Other <br /> CONTRACT PRICE OF WORK �t 599� �,� CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> WORK DESCRIPTION <br /> �ti�ld �S�r..'� S�- /a.`� a-C> <br /> PLUMBING ���{{{� MECHANICAL <br /> NO. TYPE OF FIXTUF �.CR ITEAi �/ NO. TYPE OF FpCTURE OR ITEM � <br /> / <br /> WATER CLOSET(TOILET) A�C—A/HANDUNG UNITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANVE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FtREPLACE INSERi <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPINV <br /> SINK(SERVICE/BAR/MOP/ETC.) �:XHAUST FAN <br /> OTHER O'HER <br /> I HEREBY CERITIFY THA71 HAVE READ AND E.�AMINED THIS APPLICATION AND KNOW THE SAM.E TO BE TRUE AND CORRCi.T ALL <br /> PROVISION�OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF K'ORK WILL BE COMPLIED WITH WHETHER SPECIFIEQ HEREIN OR <br /> NOT THE GRANTING OF A PERh11T DOES NOT PRESUAIE TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORAtANCE OF CONSTRUCTION. TNAT I AR1 AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR IYHICH APPLICATION IS h1ADE ANO I COMPLY�VITH 7HE 5 iATE <br />�,,� COPJTRACTORS LAW 18.2,'RC AND 29fi.200 WAC. <br /> J-/3 -03 <br /> SignaWre ot Ow Contra o/Authonzed Agent Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED � <br />