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I, � PERMIT APPLICATION <br /> ; CITY OF EVERETT I'ERMIT �ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I 425-257-8810— FAX 425-257-8857 <br /> ISI7E ADDRESS PARCEL TAX I.D.# PERMi7# <br /> 90 / 3�r�< Sr )�GLbs-ODy' <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> JE�r= l�o��,.. <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> CONTRACTOR ADDRESS � ZIP CONTR.LICENSE# <br /> /2t7Li/..SU� ��--•.�G,_ <br /> .� 4�3u /2�li� �cr: .�E r, <br /> PHONE �jJ1-23 ��B/NQ�-L7Z.tj �� <br /> ��E,c�l�(�3 — >u62 �L' ci..,vn�.v <br /> PROPOSED USE OF BUIL�ING f� Building I� Mechanical Addition HEAT SOURCE <br /> PERMIT K Combination �_� Plumbing WORK � Alteration � Electric <br /> 5�:.� TYPE �� Demolition U Sign TYPE New Gas <br /> ySt Sprinkler Repair/MainL Other <br /> CONTRACT PRICE OF WORK � � �L,�� CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK�ESCRIPTION <br /> / .c.S i/1-c� Pl/JC= Sf�iZ..�-c�t L-iP �y5%Z�`h. /nJ �.L'�i S F.� <br /> PLUMBING MECHANICAL <br /> NO. 1YPE 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 /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CL�THES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPIACE/STOVE <br /> URINAL FIREPLACE 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 /> �_ N�-yYi>j <br /> I HEREBY CERITIFY THAT I HAV'c READ AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNINu THIS TYPE OF WORK W ILL BE COMPLIED WITH WHETHER SPECIFI�D HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE PUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAN/REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OVJNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1B.27 RCIW AND 2 U�70 WAC. <br /> ���U�� -___S��---�--�- <br /> Signalure o eNCoNractor/Authorized Agent ate � <br /> � DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />