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PrLRMIT APPLICATICS�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-?57-8857 <br /> SITE ADDRES� PARCEL TAX I.D.# P RMIT# <br /> D Y�— . ,�', cJ a s s o � 6�3- �a- ' <br /> LEGA LOT NO. BLOCK TRACT <br /> oesa � Op5'(�� 'f•wf SuJi .3/ w a �! Rn S , <br /> OWNER ADDR S IP PHONE <br /> � rE , i�O. �las-3'!8<sa <br /> TENANTNAME — I CONTACTFORPERMIT , PHONE <br /> ��r0 �iN�,'�t,� �/o?S-3�l�,it'd�- <br /> TRACTOR ADDRESS ZIP CONTR.LICENSE N <br /> PHON�� ! �h �4S/�. �h'1�, <br /> /-`?�/�fHG�D IO��}. <br /> PROPOSED USE OF BUILDING ilding Mechanical Addltlon HEAT SOURCE <br /> SK�� �A�„ PERMIT mbination R Plumbing WORK � PJ�ratlon ElecUic <br /> `"I TYPE Demolition � Sign TYPE FL!�ew as <br /> ����� Sprinkler 6 RepalNMalnt. Other <br /> CONTRAC7 PRICE OF WORfb�j���OO� /�p � � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> c17 v / <br /> WORK DESCRIPTION <br /> �tiGc,� �,q..,,c..� v�- So2� �9-y4G�fi- c�fs�E�i�� <br /> IC 3 ��°�� �ox�.o ��x a <br /> PLUMBING MECHANIC L <br /> NO. TYPE OF FIXTURE OR ITEM NO. . TYPE OF FIXTURE OR 17EM <br /> � WATERCLOSET(TLiLET) A/C—A/HANDLINGUNITS <br /> BATHTUB �_ FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) HEAT PUMP <br /> �_ SHOWER UNITHEATERS <br /> � KITCHEN SINK 8 DISPOSAL � CLOTHES DRYER <br /> � DISHWASHER �, RANGE HOOD <br /> LAUNDRYTRAY <br /> � CLOTHES WASHER � METAI.RFI EPLACFJSTOVE <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 /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8�TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS ANO ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. TH NTING OF A P IT�OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE L L LAW ULATI ON�UCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br /> OWN OF T IS PRO ERTY TO PERF � T IE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CO RACT S 1827 RCW AND 2 WAC. <br /> � oZ�Z 8 <br /> Signa ure of w uthorize ent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED �� <br />