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PERMIT APPLICA�i ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.ii PERMiT# <br /> 32D S/Y61 k1�. 3/b - b sl <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP Pl10NE <br /> �� Tt�r 3�z� c� 9r. ��� <br /> ��'[N���L CONTACT FOR PERMIT PHONE <br /> ua�,� r�� I J� M�I.L k �1S 2 <br /> CONTRACTOR ADDRESS 21P CONTR.LICENSE N <br /> PHONE <br /> PROPOSED USE OF BUILDING I TMPEIT � Demol tionon U Sign bing I TM EK � RdPa u�a'n` I HEAT SO�IhRWCic <br /> K <br /> Q�6�, �i_ � I-! <br /> � Sprinkler U <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TA7C CODE IS�105 <br /> WORK DESCRIPTION <br /> �7"!. WUDI�/l/�/b' Wi4G(h, GC�'UlA.(�i, �l/V75l� , L�l�i ��I!�G��. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. . TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACt INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERAIIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTO 18.27 9 . 00 AC. <br /> Z <br /> Signa w Contra r/Authonzed Agent Oat � <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEF'TED L <br />