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PERM1���4PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> �SiIT,�E,�A,D�DRE55 /�,� PARCEL TAX I.D.# PERMiT n <br /> �y+�w �T'� R�/1�/• po 30�p-c0\ <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 ZIP PHONE <br /> C �,- y � �= i:��+v i� 3 �-o o G�,D,�+►z srr2��; y�d ao, ��'���� <br /> TENANT NAME �ONTACT FOR PERMIT PHONE <br /> I f��a�tM.va-�vSo N ��)3:� - t�3/7 � <br /> :�a.� �+M:or�r �:F,:.� <br /> CONTRACTOR ADDRES$ ZIP CONTR.LICENSE 1{ <br /> .4'�^q1Ri7ft. r �:r.':o�J�iiiy� Lb1� i�Z/ 7iid i�� .d i2�.vT w.? y$oiL � <br /> P ONE. �, t G'� L./.�vi-+�ti7T !•'h' SY7� L�/2`i� �b`/—/S'JL r tf.r2,�:l�j16G,sfi�fS�BJ <br /> 7iE !'�7 "��7 � <br /> PROPOSED USE OF I]UILDING I�_Building f�S_Mechanical Additlon NEAT SOURCE <br /> C .-.� �/C, PERMIT �XCombination ��Plumbing WORK �Alteralion D-EleUric <br /> V ��i`�iJ _ � TYPE j� Demolition �� Sign TYPE New B cag <br /> C(� �� U Sprinkler Repair/Ma�nt. OMer <br /> CONTRACT PRICE OF WORN — CITY OF EVERETT LOCAL SALES T/U CODE IS 3103 <br /> WORK DESCRIPTION l J/ � �`..+� �f� --�V��+ afc �4N'J /I)f �f'•'r �G'L [�r1 �d�7'1� <br /> / �ili�sl � Ij ��� i � ifrJ��!/r` r:t <br /> ��d+�1Ll�r Lc�i���'1 T� /,� it�l�t,al �7'.�ci i �a r.� / <br /> /���Tr <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TO�LET) ,� A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS ,/ <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER UNIT HEA7�R5 <br /> � KITCHEN SINK&D�SPOSAL LOTHES DRYE <br /> � DISHWASHER NGE HOOD � <br /> LAUNDRY TRAY W �ER HEA R <br /> CLOTHES WASHER ME L FIR�PLACE/STOVE ,����v� <br /> URINAL _ FIREP �E INSERT ��; U�7 <br /> � DRINKING FOUNTAIN GAS FI PLACE ^�� �G <br /> ,J� FLOOR DRAIN <br /> � BACKFLOW PREVENTER � GAS P N E t <br /> � SINK(SCRVICE/BAR/MOP/ETC.) �:EXHAUSTFA <br /> OTHER � OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ND CORRECT. ALL <br /> PftOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPIiED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GR4NTING OF A PERMIT OOES NOT PRESUMF TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TFIE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEkTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOR�78.27 RCW AND 20 WAC. <br /> I�G'I'f1 /ll�l p•�-��'4iv (S�' 1� I�'� <br /> Signature of Owner/CoTact d nze�c Agent Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />