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aE��MIT APPLICAT�N <br /> CITY OF ►�VERETT PERMIT SERVICES <br /> 3200 CE�AR STREET, EVERETT, WA 98201 <br /> 425-.'t57-8810 -FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.!1 P M� C <br /> IoGS w��NE �4vc= DOy�r�� 000c� 4000 I � �O� ' / <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. C�� l�lsibn/ �A2� L�l�! Z <br /> OWNER AODRESS LP PHONE <br /> 1'11kE F J,cl..itT c5pinro�A �obS wpY/�G .d.uc S82D� yzs- zS7-a64/ <br /> TENANTNAME CONTACTNAME PHONE <br /> SA/'^e Er> v�so,v gzi- so3-4� 5 Z <br /> CONTNACTOR ADDRESS ZIP CONTR.LICENSE� <br /> P�ICIFIL (J^�..L'ti..�.-_�=< /n�C 'L72b �'vL�'E/J_ ,4uLT p CIF61 O.`��-' SN <br /> '�HONE92j ZS�t -� 3 �/ l�V�2G?('� Wfl Q �2G1 i /� <br /> PROPOSED USE OF BUILDINO �� (� �+ilding � Mechenical Addltion HEAT SOURCE <br /> FQ,,,� , �ti 2�r, 990.1 r PERMIT �jCombinalion Plumbing WORK �Ileretbn �ectrlc <br /> TYPE D Oomolilion Sign TYPE New Gas <br /> G-�,nit/�4�i 5�9.�T� U Sprinkler RepnirlMaint. Olher <br /> CONTRACT PRICE OF WORK �j cl� �p0. v� CITV OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> WORKDESCRIPTION ���„ST�Cr DElYKy{t� S14•7S �� ��GLT w��l A �/4ja.Z)� � <br /> rrc.A�'�L'� 1'4M� �•� 2�or�� �S' Rc:N2 <br /> �U 3 �J <br /> PLUMBING MECHANICAL <br /> NO. T:'PE OF FIXTURE OR I7EM NO. TVPE Of FII(TURE OR ITEM <br /> I W/1TGR CLOSET A/C-A/HANDLING UNITS <br /> ! f3AT111 UD FORCED AIR SYSTEMS <br /> � LI1VAtORY(W�SIi BASIN) HEAT PUMP <br /> SHOW[P �_ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASH[R RANGE HOOD <br /> LAUNDRY i�RAY I WATER HEAT[R <br /> CLOTHES WASHEN METAL FIREPLACE/STOVE <br /> URIN�L FIREPIACE INSERT <br /> DRINKING fOUNTAIN GAS FIREPLACE <br /> PI.00R DRAIN GAS RANGE <br /> DACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/�AR/MOP/[TC.) l EXHAUST FAN <br /> OTHER OTHER <br /> I HI_H[OY CERITIFV THAT I HAVE R[AD AND[XA�dINEU THIS APPUCATION AND KNOW THE SAME i0 BE TRUF AND CORRECT. ALL <br /> PROYISIOtJS OF I�WS AN�ORIDINACES GOV[RNING THIS TVPE OF WORK WILL BE COMPUED WIiH WHEtHER SPECIFIED IIEREIN OP <br /> NOL THG GRAM ING OF�PEHMIT DOES NOT PRBSUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE 0f7 LOCAL LAW R[GULATING CONSTf7UCTION OR THc PERFORA7ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OP TFIIS PROPEliTY l0 PEI7FORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONTRACTORS I�ND 296200 WAC. — ( / � <br /> -� G ce o�3 <br /> SignaWre ol UwnedCoNractodAuthorized Agont Dete �� <br />