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PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> �.>"' 3200 CEDAR STREET, EVERETT, WA 98201 �pp7 <br /> 425-257-8810— FAX 425-257-8857 ���,��0 �,6,� <br /> KLl <br /> SITE ADDRESS PARCEL TAX I.D.N PERMiT_ �• <br /> 3Zol mlth A✓e. c�'�"�u^— <br /> LEGA LOTNO. BLOCK TRACT <br /> OESC. <br /> OWNER ADDRESS LP PHONE <br /> �'-1 .l En�erw�lt <br /> TENA T AME CONTACTNAME PHONE <br /> Ed���++S+ut�du CR� ( �iou r�m�fb (yzrJ3o'� �Iz`� <br /> CONTRACTOR ��,d FNCS����AG� ADDRESS ,Q a� ��� LP CONTN.UCEHSEI <br /> Grc� F�,W�p l�U�'�SDz4�3 <br /> PHONE (N1.s�j� ol� 7d'Z,rZ <br /> egOPOS_�D,l15EOF,,@U�ILDI�1 � I �uilding � Mechanical Additbn HEATSOURCE <br /> kts.,�iA�s� � CFNu,t+ACle.(C PERMIT Combinetion Plurnbing WORK Allarellon Electric <br /> V� <br /> TYPE Demolition Sign TYPE New Oas <br /> Spflnkler RepaltlMeinl. Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> WORK DESCRIPTION "�'j, {!�7- MIY- � <br /> ?z5 � �2 <br /> PLUM8ING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FlI(TURE OR REM <br /> WATER CLOSET A!C—A/HANDLING UNITS <br /> BATHTUB F��RCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 UISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANOE HOOD <br /> LAUNDRY TRAY WATEH HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> ORINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOR DRAIN �AS RANGE <br /> BACKfLOW PREVENTFR GAS PIPING <br /> SINK(SERVICE/BARIMOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> I FiER[�Y CER�TIFY THAT I HAVE FEAD AND�:XAMINED THIS APPLICATION AND KNOW THE SAME TO BE TfiUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NO7. it1[GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OP ANY OTHEP <br /> STATE OR LOCAL LAW R[GULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWPlER OF TFiIS P(iOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br /> �r�,. � ia/zz�cr <br /> Signature o Owner/ onlraclorlAulhorized Agent Dale \IL� <br />