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_ _ -- - -- __ - -- --- - _ <br /> , - -- <br /> � PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT S�RVICES I <br /> ' 3200 CFCAR STREET, EVERETT. WA 98201 <br /> I �-25-257-8810 - FAX d25-257-8857 <br /> SITE ADDRE55 PARCEL TAX I.D. # ' �°�'�'�T= <br /> � s- � v ����� �,o�� ----- � J�. �(o�j- ooa <br /> i ��SC` �OTNO BLOCK TRACT <br /> �-- �� I — <br /> I OWNER ADORESS ZIP PHONE <br /> � iI-��A-�tZ L�-Tt-2Ai2tSc'S <br /> I <br /> I TENANT NAIdE I CONTACT FOR PERMIT PNONE <br /> I <br /> CONTRACTORn� /� ADDRESS ZIP CONTFt. LICENSE ri <br /> /W�IINSUN n�,�� . ,�_� � ,,� q�;� �o�„�.�.�z�u-z <br /> � PHONE a� 33o iz-yi� �vt <br /> 3GJ Y� 3 � v(�Z <br /> PROPOSEO USE OF BUILDING I Building D MeChaniCal FCC�,Lon HEAT SOURCE <br /> , PERM1tIT R Com6ination U Plum6ing wORK P":rat�en Elecnc <br /> s f� �, TYPE n.0emolilir,n U Sign TYPE New ' Gas <br /> � ���Spnnkler � Repau�Atani � � Ou•.c: <br /> COhiRACT PRICE OF WORK y��-y CIN OF EVEREiTLOCAL SALES TAX CODE IS 7105 — <br /> ' WORKOESCRIPTION �ti �.7.,� Sr� I <br /> � /N S%�4'� F7�F SPQ�NCLd'S <br /> I <br /> PLUMBING � MECHANICAL <br /> NO. NPE OF FI%TURE OR ITE�d I NO. TYPE OF FI%TURE OR ITEtd <br /> I _ WATER CLOSET(TOILET) �'� _ A/C-NHANDLWG UNITS <br /> _ �ATHTUB I _ FORCED AIR Sti'STEM1IS <br /> __ tAVATORY (WASH 6ASIN) � HEAT PUA1P <br /> � SHOWER UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL � CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> VIUYCRY TRAY WATER HEATER <br /> CLOTHES w�SHER h1ETAL fIR[PI.aCE/STOVE <br /> URINi1L `rIREPLACE INSERT <br /> � DRINKING FOUNTAIN GAS FIREPLACE <br /> . FLOOR DRAIN GAS RANGE <br /> � BACKFLOW PREV[NTER GFS PIPWG <br /> ! SINK (SERVICE/OAR.�h10PiETCJ EXHAUST FAN <br /> OTHER OTHER_ <br /> -- ----- — i <br /> I -- — _L — .( e�s — <br /> !HEREBY CERI7IFY TNAT I HAV[ H61p AND EXAM1'INED THIS APPLICi�TION AND KNOW THE SAtdE TO BE 7RUE AND CORRECT. ALL � <br /> �'ROVISIONS OF Wl'JS AND OFIDINACES GOVERNING THIS TYPE OF WORN IVILL BE COUPUED WITH 1NHETHER SPEGFiED HEREIN OR <br /> � r;pT THE GRANT�NG OF A PERt.Ui DOES NOT PRESUGIF i0 G�VE AUTHORITI'i 0 VIOLATE OR CAWCEL THE PROVISION OP ANY OTHER , <br /> � ST�1TE OR LOCAL LAIV REGUl�1TING C0IJSTRUCTION OR THE PERFORAtANCE OF CONSTRUCTION THAT I Ald AUTHORIZED BV THE � <br /> OWNER OF THiS PROPERIY TO PERFORId THE'NORK rOR WHiCH APPLiCATiON i5 MADE:.ND; COStPLv IViTH THE STATE I <br /> �. CONTFLICTORS LAVd °7 R U'ANO .96.200 Y.'AC <br /> -(.�.1-_�_ 9 � <br /> �i Signature at OwnenCanlrac�oMu�honzCtl Agent � <br /> DE & CREDIT CARDS ARE NOT ACC 'ED ! <br />