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PE�r2MIT APPLICATIOi� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> (�� yv�-�� <br /> SITE ApDRE3�i PARCEL TAX I.D.I P RMIT# <br /> L. S•,t�• okI0.T3 �o3c�b ' 6�b�' �- <br /> LEGA LOTNO. B�K _TRACT <br /> DESC. ' D.S —�� ��oi-Sz �2 0,� /,or3 ?wH.aqH. /�•S�A�, <br /> OWNER / ADDRESS ZIP PH NE <br /> T�/f,.fy� `'Qus,, ..�c , Pd.,c3c3i �' '1�.t- <br /> T[NANTNAME I CONTACTF PERMIT PHONE , <br /> TRACTOR � �Z C.l��� <br /> / ADDRESS LP CONTR.LICENSE A <br /> /NNPe `1 C-Q'�,s�,.�P� P-U. ,j� -�l76.�CL�,E/?�� �'Q�db t'�}�N►tGSo/oSA, <br /> PHONE <br /> ��.�� ���/ a'S <br /> PROPOSED USE OF BUILDING ing Mechanical Additlon HEAT60URCE <br /> PERMIIT Combinadon R Plumbfng WORK �y� �� <br /> 5.,�(�,t f�g�y, "? TYPE Demolition � Sign TYPE w as <br /> Sprinkler RepaidMainL pp�� <br /> CONTRACT PRICE OF WORK ����L'�� /���� _ CITY OF EVERETT LOCAL gALES TAl(CODE IS 3105 <br /> WORK DESCRIPTION <br /> /�liLu� S,vv�� �'.�„L y ��sr��Nc.�, . <br /> PLUMBING � <br /> MECHANICAL <br /> NO. TfpE OF FIXTURE OR ITEM NO. . TYPE OF FIXTURE OR IiEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> � IAVATORY(WASH BASIN) HEAT PUMP <br /> �� SHOWER _ UNITHEATERS <br /> �_ KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> � DISHWASHER � <br /> LAUNDRY TRAY � �GE HOOD <br /> � WATER HEATER <br /> � CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _� (`„qS FIREPLACE <br /> _ FLOOR DRAIN _L GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) �' �(HAUSTFAN (/!/ <br /> � OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED TIiIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OP LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WIL.L BE COMPLIED WITH WHETFiER SPECIFIED HEREIN OR <br /> NOT. THE GR4NTING OF A PER DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL TFfE PROVISION OF ANY OTHER <br /> STATE OCAL LAW RE TING T TION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BY THE <br /> OWN OF HIS PROPER TO PERFOR WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CO CT RS LAW 1B. RCW AND 296 WAC. <br /> Signa ure o Owner �� e� <br /> `�z <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />