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. - � - ---- <br /> ' 7 <br /> P�RMIT APPLICATIbN <br /> CITY OF EVERETT PERMIT SERVICES <br /> ( 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610- FAX 425-257-8857 <br /> 32/D <br /> S�TE ADDRE1S,S,/�`� C PARCEL TAX I.D.N PERMIT p <br /> �W�'Wl/ �. EVI�fY-11� r <br /> LEGAL L07N0. BLOCK TRAC7 <br /> DESC. <br /> OWNER � ADDRESS � PHONE Lf�— <br /> � �E�r ; 3oa w,avE o�ivE � 347 - 36� <br /> TENANTNAME i CONTACTNAME I PHONE <br /> CONTRACTOR I ADDRESS ICONTR.LICENSEM <br /> PHONE �.8.� . C� n�''(.0��C'� I <br /> PROPOSED USE OF BUILDING �Building Mechanical Add�tion HEAT SOURCE <br /> A��(Q� '�'p PERMI7 Combina�ion R Plumbing WORK �Alteralion �E�ectric <br /> s� , TYPE Demolilion � Sign TYPE New Gas <br /> Sprinkler Repair/Meint. plher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SAIES TA%CODF.IS 3105 <br /> ( WORKDESCRIPTION A� �Q�US R�OON�. �/ ��STIJ� �?�F-��GPi 7V� <br /> q.dp �avNa�y R-�� -n� �-���.c� �is;. ��E � 4�� sf <br /> �D l - G�k. C�,�� C 209 S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO TYPE OF FlXTURE OR ITEM <br /> _ WATER CLOS6T A/C-A/HANDUNG UNITS <br /> _ DATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH�ASIN) HEAT PIIMF <br /> _ SHOWER UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL = CLOTHL-S DRYEH <br /> DISHWASHER RANGE HOOD <br /> � LAUNDRYTRAY WqTER HEATER <br /> � CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN � GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> � BACKFLOW PREVENTER � GAS PIPING <br /> SINK(SERVICE/BAR/MOP/[TC.) EXHAUST FAN <br /> _ OTHER . / _ OTHER <br /> i HEREBV CERITIfV i�HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT. ALL I <br /> PROVISIONS Of tAWS AND ORIDINAC[S GOVEFiNING THIS NPE OF WOHK.WILL BE COMPLIED'NIT.i WHETHER SPECIFIEn HEREIN OR <br /> NOT. TI1E GRANTING OF A P[RMIT DO[S NOT PRESUME TO GIVE AUTIIORIN TO VIOLATE OR CANCEL THE PRpVISION OF ANY OTHER <br /> i 'TATE OR LOCAL LAW REGUTATIIJG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> 1WNER OF 7HI5 PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AN;D;�� G200'JJAC. <br /> !'/��- G- 2�-v5- <br /> SignaWre ol Owner/4;bniraclor/Authonzed Agent Dale i <br /> � (�/�4'Gtf� /�if.X�S�,l�'�T� ��� <br />