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PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WL '•3201 <br /> 425-257-$810- FAX 425-257-3 V� <br /> SITE ADDRESS PARCEL TAX I.D.# htlT� ,� � <br /> ya l, �u4 a -000- �sq ��� <br /> LEGAL LOTN . BLOCK TRACT I <br /> DESC. ,� SP I,1U 7' I <br /> OWNER AODRESS ZIP PHONE <br /> Q-cQa�2��c�,��R�ses L1t 1-f03a-35�A�e5E t�'l'l�sA� 4gOt� �f7�sz�3 <br /> TENANiNAME CONTACTFORPERMIT PHONE L'�l <br /> (.._.�..�l..es�l� �-12.5 - ��13 -L"1 (8 <br /> CONTRACTOR ADDRESS 21P CONTR.LICENSE p <br /> I��aia_ C���,s�.Si ��.e. ��o-�a-3s�'�}ue-SE cvoih� �«- ADA��.e�wa}e <br /> PHONE <br /> PROPOSED USE OF BUILDING uilding echanical Addilion HEAT SOUR�C-. <br /> S lR4�,C �"'� PERMIT �ombination lumhing WORK AI eralion n Electric <br /> J �,_ l TYPE Demolition Sign NPE ew 1���'Gas <br /> `J�[J17�-�C Spfinkler RepairlMaint. V Other <br /> r <br /> CONTRACT PRICE OF WORK I CI7Y OF EVERE�ff LOCAL SALES TAX C07E IS J105 <br /> W ORK OESCRIPTION /� <br /> �eu..l -`tt�oJ1�¢. .�'o.iy�n„� .JuJ�..-�Au�—�' �j7�,',� //� j�lc:�:i`•���'7✓ <br /> �� <br /> PLUMBING MECHANICAL <br /> NO. I TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM I <br /> �� WATER CLOSET(TOILET) A/C–A/HANDLWG UNITS �. <br /> BATHTUB �(_ FORCFD AIR SYSTEMS I <br /> '� LAVATORY(WASH BASIN) HEAT PUMP <br /> �_ SHOWER UNITHEATERS <br /> _L KITCHEN SINK 3 DISPOSAL CLOTHES�RYER <br /> �_ DISH1h'ASHEF � RANGE HOOD <br /> IAUNDRYTRAY _j_ WATERHEATER <br /> � CLOTHES INASHER _ METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKI.'JG FOUNTAIN �_ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING � <br /> SINK(SERVICE/BAR/M0�/ETC.) EXHAUST FAN � <br /> OTHLR _ _ OTHER � <br /> — — — � <br /> — � <br /> — -- — -- I <br /> I NEREBY CERITIFY THAT I HAVE RE.40 ANO EXAMWED Tr11S APPLICATION AND KNOW THE SAME TO�E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LP.NS AND ORIDINACES GOVERNING THIS NPE OF WORK INILL BE COMPLIED�YITH WHETHER SPECIFIED HEREIN OR <br /> tJOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GNE AUTHORITY TO VIOWTE OR CANCEL THE PROVISION OF AN�OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OFi THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED 8Y THE <br /> OINNER OF THIS PROPERN TO PERFORM THE WORK FOR\NNICH APPLICATION IS MADE AND I COMPLY 1"lITH THE STATE � <br /> CONTRACTORS L>tV 1827 RCvV AN�296.200 WAC. ' <br /> �.�.��.a'�1y- �r.x-w�' lp( ���cy i <br /> SignaWre 1 Owned(,ontract / thon<ed Age t Date l--y � <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED ��Z <br />