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�- <br /> . ERMIT APPLICAT_ JN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> �25-257•8810 - �AX 425-257-8857 <br /> Ou)oao�� <br /> SITE ADDRE55 pARCEL TAX I.D.# PERMIT e <br /> 203o RIAGKER Avc. ooffs��t - -tz� - on- o� ,,���� <br /> LEGA LOT�O. BLOCK TRACT <br /> DESC. /�oTz oFLOT I'� sfZ� Pt,ATof �JERETI' Diu�51oN �(� � V61.'f e���4i'S� Pg.41 <br /> OWNER AD�RESS ZIP PHONE <br /> GHRISTENSEN QNA{.�1'YHOMfi�l�. 47�0 �35"�'Pr,.s.w. <br /> EDMeNns� wA . 9�asG 'Y2� 7�s G3L4 <br /> TENANT NAh1E I CONTACT NAME PHONE <br /> �/n e/6 <br /> CONTRACTOR ADDRESS ZIP CONTR. LICENSE M <br /> GHRtSTY�1SISM QMA�.�7'j� He�� /Nc. (p'�10 f35�`PL,S.u, <br /> PHONE EDMONDS� �A. 9BOLG �~R/SQM/O%C` <br /> PROPOSED USE OF BUILDING Building fl MechaniCal Addilion HEAT SOURCE <br /> PERMIT � CPmbinalion ��� Plumbmg I WORK �AltPralion I �Electric <br /> � S/N6LE �i1M��ylt�,`S/Li"YP1 TYPE Demolilion ��-� <br /> I Ll Sign TYPE New Gas <br /> S rinkler Re aiUMaint. Olher <br /> iCONTRACT PRICE OF WORK $�SQ,poo,oe CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> '.3' H��.j7 '� To.✓/✓/feiy65 <br /> i PLUMBING MECHANICAL <br /> � NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> I <br /> �� 1� WATER CLOSET A/C–A/HANDLING UNITS <br /> .�_ BATHTUB ,� FORCED AIR SYSTEM <br /> L'� LAVATORY (WASH BASIN) HEAT PUM11P <br /> � SHOWER UNIT HEATERS <br /> �_ ITCHEN SINK 8 DISPOSAL CLOTHES DR R <br /> � D WASH[R RANGE HO <br /> 1_ LAU Y TRAY �► _ TER ATER <br /> I � CLOTHE ASHER . _ ME IREPLACE/STOVE <br /> URINA� FIR CE INSERT <br /> � DRINKING FOU AIN �_ S FIR CE <br /> '�, = FLOOR DR� � uAS RANG <br /> �ACKFLO REVE ER GAS PIPING <br /> ____ SINKjS� VICE�BAR/h1 lETC.) EXHAUSTFAN <br /> OTIIEF( , _ OTHER <br /> — / — <br /> � I HEREBV CERITIFY'HAT I HAVE REAO AND EXnMINED THIS APFLICATION AND KNOW THE SAME TO BE TqUE AND CORRECT. ALL I <br /> , PROVISIONS OF W WS AND ORIDINACES GOVERNING THIS ll'PE OF WORK WILL BE COMPLIED WITH WHEiHER SPEGFIED HEREIN OP <br /> � N07. THE GRANTING OF A PERIdIT�OES NOT PRESUM11t TO GIVE AUTHORIIY TO VIOWTE OR CANCEL THE PHOVISION Of-ANY OTHER I <br /> � STdTE OF LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORh7ANCE OF CONSTRUGTION. THAT I AM AUTHOR12ED 8Y THE <br /> OWNFR OF THIS PROPERTY TO PERFORM THE V�ORK FOR WHICH APPLICATION IS h1ADE.4ND I COMPLY WITH THE STATE I <br /> CONTRACT RS LAW 1g.Z RC'N A D 246.�00 WAC. <br /> G�s�..1`�L�s�.,...� 9/3/oz <br /> Signalure of OwneuComractor/Authorized AgeN Date �� <br /> � � ��-/� � �� <br />