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�'�MIT APPLICATICJlv <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> � �b3 -(�� <br /> SITE ADDRESS PARCEL TAX I.D.# PER # <br /> 3 v , , � 7s`r���' y'o ! Qoo <br /> LEGAL LOTNO. BLOCK TRACT GA�ey /2o"Z� <br /> DESC. �� y � �� <br /> OWNER A DRESS � ZIP � PHONE ' <br /> L C� C� �� �L�N IGO � � ✓ <br /> TENANT AME ��� CONTACT FOR PERMIT PHONE <br /> CONTRACTOR eS�D . � � ?��ESS � � .� ZIP CONTR.LICENSE# <br /> �� �J e�,SO c�/ O�,Sf <br /> PHONE y�- . 3 4>-s�� � �G�/ /�� <br /> PROPOSED USE OF BUILOING !�.� pERMIT Combinallon u S 9n bingal TMPEK Repa r/Malnl HEAT SGecRtric <br /> /,�//'//' �� / � "�/ 7YPE Demolition U R{-( <br /> ,/ `�W � � �Sprinkler LI Other <br /> CONTRA IC WORK D�JQ �� CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> WO DESCRIPTION /� <br /> ���(,Q C� l L� ��L I�CC/�^C / <br /> f�, <br /> � � ��-�lL <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. IYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) FVC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> L4VATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK& DISPOSAL CL.OTHES DRYER <br /> DISHWASHER RANGE HOOG <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNO\N THE SAME TO BE TRUE AND CORRECT. AlL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK YVILL EE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> i� STATC-OR LOCAL LA EGUlATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS P TY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAy7TORS Lti � 18. RCW AND 2 . 0 WAC. <br /> / � <br /> '/ aWre of w F/C ac K n d Agent Dale � ` <br /> �� <br /> D IT & CREDIT C.4RDS ARE NOT ACCEPTED <br /> ��ll <br />