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r { <br /> PERMIT APPLICAT N <br /> CITY OF E'✓ERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.p PERMiT# <br /> 7/ n��rH ,�v� �c�y�� -di �. <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> �vzrr�Ti G'�s��/ ll�ss.v�-. 37�i �.H;rH .B�t f��K�7T <br /> TENANT NAME CONTACT FOR PERMIT PNONE <br /> CONTRACTOR J;r '7(,(/vY� t} j•��--- DRESS o3�t� � ��� ZIP CONTR.LICENSEk <br /> ��S � <br /> PHONE ���fG <br /> .�o y.�s 5'ss-� /ns,rys�,�/t ,w..9- �>>o .i�r <br /> PROPOSED USE OF BUILDING Building f7 Mechanical I Addition I hEAT SOURCE <br /> �� � PERMIT RI.-( Combination k� Plumbing WORK PJteratlon ElecUic <br /> �5�� ��G� TYPE �j Demoiition V Sign TYPE New � Gas <br /> •� U �prinkler RepalrlMaint. OMer <br /> CONTRACT PRICE OF WOR � ��, crJ CITY OF EVERETT LOCAL SALES TA7C CODE 13�105 <br /> WORKDESCRIP710N p�`Hc'� r. GK/S��s*� v�/��lS /Qc a.�L cuiy� f f/� <br /> F � . � <br /> fi/t/it 4-/� �°C�s� - �o� <br /> �°'r�fz • 5����/� �1..s,Ei/ <r�...� �1wc�s v' �7s� :.,.l� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(701LET) _ AIC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> L4VATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASH�R METAL FIREPLACE/STOVE <br /> � URINAL _ FIREPLACE INSERT <br /> DRINKI�dG FOUNTA�N GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> � BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICEI'3AR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> iI HEREBY CERITIFY THAT I HAVE READ AND EXAMI4ED THIS APPLICATION AND KNOW THE SPIdE TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> i NOT. THE GRANTING OF A PERMIT DOES iJOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> � STATE OR LOCAL U�W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHURIZED BV THE <br /> OWNER OF TFfI PROPERTY TO PERFORM THE WORK FJR WHICH APPLICATION IS MADE AND I COMoLY WITH THE STATE <br /> I CONTRA TO �LAW 1 . CW AND 296.200 WAC. <br /> I �,:� �/s� <br /> Signature of CwnedContrectodAuthonzed Agent Date <br /> � DEdIT 8 CREDIT CARD5 ARE NOT ACCEPTED <br />