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�v�. . <br /> �tRMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201,425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.t PERMIT 11 <br /> iS.� Gv A f�-y _ r� 8'-oz�-oc� (3 o:�C�-�d�h <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. !z2 3fo�lJ'�'J <br /> OWNER ADDRESS PHONE <br /> kt�^I f C�'�t/ C? Pcz /�1 z wP�oft e /4 u@ a�-2e 99 <br /> TENANT NAME CONTACT NAME ���� �� PHONE <br /> N /� Tdu�dl� �'ouN G�.iNN �`!3 ds'a-S- <br /> CONTRACTOR�uJn/ € �uN�. ADDRESS CONTR.LICENSE• <br /> �Ls�� �vcuy A� .s�.d ru.uc�FoS�cr- <br /> PHONE �� c��13� <br /> ���s) � 3-,�ss— oa <br /> PROPOSED USE OF 6UILDING �Building n Mechanical �nddkbn AT SOU E <br /> D e�lac hPGr PERMIT Combinetion I'� Plumbing WORK nueretlon <br /> 8a�`e TYPE Demotition � Sign TYPE Naw <br /> Spnnkler PepeldMafnL Othar <br /> CONTRACT PRICE OF WORK e.� CRV OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> WORI�DESCRIPTION /P ��,��� /'7'GQ�1�e <br /> L'OiuSp�GP'" aNC 4r POS� <br /> �'a'� �' �` �� <br /> L MBINO MECHANICAL <br /> N0. TYPE OF FlXTUflE OR ITEM 0. TYPE OF FlXTURE OR ITEM <br /> WA R CLOSET —A/HANDLING UNITS <br /> BATH FO ED AIR SYSTEMS <br /> IAVATO WASH BASIN) _ HEAT MP <br /> SHOWER _ UNIT HE RS I <br /> KITCHEN SINK ISPOSAL CLOTHES D ER <br /> DISHWASHER RANC3E HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER _ METAL FIREP S VE <br /> URINAL _ FIREPLACE I RT <br /> DRINKING FOUNT GAS FIREP CE <br /> FLOOR DRAIN GAS E <br /> BACKFLOW EVENTER _ GAS ING <br /> SINK(S ICE/BAR/MOP/ETC.) _ E UST FAN <br /> OTH _ HER _ <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITM WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUTE OR CANCEL THE PROJISION OF ANY OTMER <br /> STATE OR LOCAL LAW REGUTATING CON RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTMORIZEO BY THE <br /> OWNER OF�fH�S PROPERTY TO PERFOR THE WORK FOR WHICH APPLICATON IS AU�E AND I COMPLY WITH TNE STATE <br /> CONTRACTORS LAW 1B. 7 RCW AND 296. WAC. <br /> . � / � � /O� <br /> � � <br /> Signature n C tractodAuthori Agent Date �� <br />