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�ERMIT APPLICAT�JN <br /> CITY OF EVERETT PERM�T SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.• PERMiT• <br /> St�LI hu.Y� ��e�('� d�o �a�� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> XOW�NER � ADDRESS y DP PMONE �lj•7, � <br /> �..M� 'l-IM � ��-�"�I I 11�ti1 [�W� �lll�l J�.w� 'W��l / 1�G �L� 'HT K D �-11N — <br /> V.��' <br /> TENAHTNAME CONTACTFORPERMR PMONE <br /> � I�.YGt,IS ���i,Vl 1�N' ►�G(�S � -U�(�-Z <br /> cormucron�'a��� ��-�,ra��DRES3 ar cor+rn.uce�� <br /> PHONE <br /> PROPOSED USE OF BUILpNG � Building � Mechanical I n AdCNfon MEAT 50URCE <br /> PERMR Combinetion Plumbing WORK n Alteretion ��^� <br /> TYPE Demolition Sign TYPE rs N� 6ea <br /> p,�+�� � J�j �� Sprinkler Y�RepeidAleinL OC�er <br /> VW <br /> CONTRACT PR CE OF WOHK R� CiTY OF EVERETT LOCAL SA�ES TA7C CODE IS 3106 <br /> WORK DESCRIPTION �' ej Z�� C��'�,L� u ' � � r'� <br /> �'i, �QY�� � C►" <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM N0. T'PE OF FlXTURE OR REM <br /> WATER CLOSET _ AIC-AMANDLING UNITS <br /> BAl'HTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> D{SHWASHER _ RANGE HOOD <br /> LAUNDRY 7RAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIRFPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ �AS FIANOE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I <br /> 1 HEREBY CERITIFY THAT I HAVE READ AND EXAM�NED TMIS APPLICATION AND 7(NOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITN WHETNER SPECIFIED MEREIIv OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORIN TO V;OLATE OR CANCEL THE PROVI516N OF ANY 07NER <br /> OWNER OF TOHIS PROPERTV OTPERFORM THE WO KOFOR WHICH APPL1IC T ONFS MALE AND IOCOMPLYTWITH TN SOTAT�BV THE <br /> C NTPACTORS lAW .27 RCW AND 296.200 WAC. <br /> , �i �4� �Y � � �' 2' <br /> �Sig eture of wner/Con ractor/Authonzed Ayent ate <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED /L , <br />