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f <br /> PERMIT APPLICATION ; <br /> ���� ;J � CITY OF EVERETT PERMIT SERVICES j <br /> D ��F� � S 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ��� C��" � 425-257-8810— FAX 425-257-8857 <br /> I 5C`1 I <br /> 517E ADDRESS PARCEL TAX I.D.# PERMIT z I <br /> � 't� 53 3v-1 (70 S �o S a-Lc72�o� '� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORE55 ZIP PHONE <br /> ,��1�1 -�' � ��a (�c���✓ sn I�G, ��Z(�� � fLer ' �2b ( �IZS� zsz-o3so <br /> ENANT NAME CONTACT FOR PERMIT PHONE <br /> �'��_ (��,',��c� s�r� z7 �-U �� � ckev�� �l&ZUI`i LS•Z 5�� -I 31I <br /> CONTRACTOR AODRESS ZIP CONTR.LICENSE N I <br /> PHONE <br /> PROPOSEDUSEOFBUILOING pERMiT �Sprink'le�tion U Plumbingal WORK �—( RtlPar�MainL HEATSEeRnE <br /> TYPE Dert101i1i0i1 U Sic�n TYPE �.� New Gas <br /> ��`� c LJ Otner <br /> CONTRACT PRICE OF WORK �(j/7/n — CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> / /C <br /> WORK DESCRIPTION <br /> q <br /> ��c «���v<� ��� ��<<� � <br /> �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> W,�TER CLOSET(TOILET) _ A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> `�,4VATORY(WASH BASIN) _ HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL � FIREPLACE INSERT <br /> I = DRINKING FOUNT.41N — GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> I _ BACKrLOW PREVENTER = GAS PIPING � <br /> SINK(SERVICEiBAR/MOPiETC.) EXHAUST FAN � <br /> I _ OTHER _ OTHER I' <br /> — — i <br /> � <br /> i I <br /> , I HEREBY CERITIFY THAT I HAVE READ AND E?(AAIINED THIS APPLICA�"ION AND KNOVJ THE SAME TO 8E TRUE AtJD CORRECT. ALL <br /> ' PROVISIONS OF L1lh'S AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIE�HEREIN OR <br /> ' NOT, THE GRANTING OF A PERAIIT OOES NOT PRESUh1c TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL L'1W REGULATING CONSTRUCTION QR THE PERFOF:AIANCE OF CONSTRUCTION. THAT I AA7 AUTHORIZED BY THE i <br /> OWNER OF THIS PROPERN TO PERFORM1I THE WORK FOR N'HICH APPLICATION IS MADE AND I COMPLY 1VITH THE STATE i <br /> C N RACTORS AW 18.27 RCLV AND 250.200 WAC. <br /> � �C�.�'� /�, `�l�l_- �� I �1� �`I � <br /> I Signature or OwnenContracto iAuthonzeA Agent Date �L <br /> � <br /> , DE81T 8 CREDIT CARDS ARE NOT ACCEPTED <br />