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� <br /> PERMIT APPLICATION <br /> � CITY OF EVERET�' PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810—FAX 425-257-8857 <br /> SRE ADDRESS '� PARCEL TA%I.D.1 I PERM T���� <br /> ' ozo <br /> lE6A LOTNO. BLOCK TRACT � <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> �N����'I_ �A ��`+ CONTACTNAME PHONE <br /> r,.� rrea w��K I ��c✓ Smfh CyzS)388-orZ� <br /> COMqACTOR gwyKy F'j� ��nG. ADDRESS FJD IIO aP CONTR.UCENSE 1 <br /> Box � �,tRNs�SOz�a3 <br /> PHONE . <br /> 4Z5 �'b'-0/Z�( �rc+�itc Faus,41A P�SL <br /> PROPOSED USE OF BUILqN6 I Bulldinp Mechanical Additio� HEAT SOURCE <br /> PERMIT R Comb(natian R Plumbing WORK �Aneretbn I7 Electrb <br /> O�- TYPE ��Demolitlon p Sign TYPE New Gan <br /> �o-Sprink!er RepeirlMefnt. B Other <br /> CONTNACT ppICE OF WORK,�'7 bz3 CRY OF EVERETT LOCAL SALE4 TAX CODE IS J105 <br /> J <br /> WORKDESCRIPTION E,�.K1 t/¢ �ove�ye -tb p,,�7�,,,� �,,,�g1 ,�i,, ��,�,,,�„���• � <br /> V��.�._ � <br /> �S�ZP���i4� <br /> ' PLUMBING MECHANICAL <br /> NO• TVPE OF Fl%TURE OR ITEM N0. TYPE OF fl1fTURE OR REM <br /> _. WATER CLOSET _ A/C-A/HANDLINO UNITS <br /> _. BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK R DISPOSAL _ CLOTHES DHYER <br /> _ DISHWASHER _ RANGE HOOD <br /> _ LAUNDRYTRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ METAL FIfiEPLACE/STOVE <br /> _. URINAL _ FIREPLACE INSERT <br /> ._ DRINKING FOUNTAIN _ GAS FIREPL/10E <br /> ._ FLOOR DRAIN _ GAS RANGE <br /> _ BACKFLOW PREVENTER _ GAS PIPINQ <br /> _ SINK(SERVICElBARlMOP/ETC.) _ EXHAUST FAN <br /> � OTHE(i _ OTHER <br /> I NEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME Tp BE TRUE AND COARECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNINO THIS TYPE OF WOFK W4L BE COMPLIED WITH WHETHER SPECIFIED HEREIN ON <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V�OLATE OR CANCEL THE PROVISION OF ANY OTHEF <br /> STA7E OR LOCAL LAW REGULATING CONSTHUCTION OR THE PERFORMANCE UF CONSTRUCTION. i iiAi I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTfiACTORS LAW 1827 RCW AND 296200 WAC. <br /> � .t 7.�z��OZ <br /> ig aWre eq�on[ractor/Authonzed Agent "rjeje � <br /> �L � <br /> � <br /> — j .�,;; <br />