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( ` <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.O.! P MIT M � <br /> ���� l� ���z ���Q ,�J� �rlo -vas <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS PNONE <br /> ��� ycl� �o��.r //tJET `7� 2 y C(p�c,c ��� A'a� � '��I'—ala —oi6 j <br /> TENANTNAME I CONTACTNAME PHONE <br /> J h-�., � ,r p�,, � <br /> CONTRACTOR I ADDRESS CONTR.LICENSEN <br /> PHONE ����r <br /> PHOPOSED USE OF BUILDING � Building � Mechanical Additlon HEAT SOURCE <br /> PERMIT Combinatlon Plumbing WORK R Auereuon D Elec�r�c <br /> TYPE Demolition Sign TYPE � New U Gns <br /> Sprinkler RepeirlMeint. U Other <br /> CONTRAi.T PRICE OF WORK CITV OF EVERETT LOCAL SALl53 TAX CODE IS 3105 <br /> WORK DESGRIPTION j � <br /> .�(i�-l� .�v�^( �i//Lrw� �lw�� 4� <br /> PLUMBING MECHANICAL <br /> N .. TYf'E OF FU(TURE OR REM N0. TYPE CF FlXTURE OR REM <br /> WATER CLOSET A/C—AJHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN� _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � hITCHEN SINK R DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> L4UNDRY TRAY WATER HEATER <br /> CIOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL � FIREPLACE INSERT <br /> DRINKING rOUNTAIN GAS FlRFPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> �INK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> 07HER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ ANU EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> I'ROVISIONS OF LAWS AND GRIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWN[R OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 VlAC. <br /> i � C/l� l " � � �� /.T � �6 <br /> ynalure of Owner/ContractL�o'r.�'A�uthorized Agent Dale <br />