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J' <br /> � ptRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> PARCEL TAX I.D.# PERMIT# -7 <br /> SITEADDRESS I�� �� 8-,� rn03d'7 '�� I <br /> �9'3 -2s—sq-v�. �-C�• �a c��. oo c� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER <br /> ADDRESS ZIP PHONE <br /> µ�� �� <br /> 593� � �. S'�� 9 8�.13 (��s'� 3�f 9-2s3� <br /> TENANT NAME CONTACT FOR PERMIT Pr7�_ � ��� l <br /> S �w,� I JL,,,,, �,�O�sarv (N�-S'��" r <br /> ADDRESS ZIP / CONTR.LIGENst n <br /> CONTRACTOR 1�3� �g �p .� '� ����- C'�&1aC{ <br /> t-{ +•� �Ne2 c� S�P-JS c�s I � i <br /> PHONE �`� � � � — O l I f t+��/�SLq99� <br /> I <br /> PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOURCE <br /> �Electric <br /> PERMIT Combination� Plumbing WORK Alteration Gas <br /> � C� TYPE Demolition Sign �E Repair/Maint. Other <br /> � Sprinkler <br /> CONTRACT PRICE OF WORK �/ � 7� CITY OF EVERETT LOCAL SALES T A X C O D E I S 3 1 0 5 <br /> WORK DESCRIPTION <br /> REP�-� c�A-� r-�caNA�,E �. r�sr�-� c��nA-� <br /> �4 i(Z C'�N� �"'�N� <br /> PLUMBING MECHANICAI <br /> N0. TYPE OF FIXTURE OR ITEM <br /> NO.. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) � �'✓C-AIHANDLING UNITS <br /> FORCED AIR SYSTEMS <br /> BATHTUB — HEAT PUMP <br /> LAVATORY(WASH BASIN) — UNIT HEATERS <br /> SHOWER CLOTHES DRYER <br /> KITCHEN SINK&DISPOSAL — Rp,NGE HOOD <br /> DISHWASHER — WATER HEATER <br /> LAUNDRY TRAY METAL FIREPLACE/STOVE <br /> CLOTHES WASHER FIREPLACEINSERT <br /> URINAL — GAS FIREPLACE <br /> DRINKING FOUNTAIN — GAS RANGE <br /> FLOOR DRAIN GAS PIPING <br /> BACKFLOW PREVENTER — �(HAUSTFAN <br /> SINK(SERVICE/BAR/MOPIETC.) — OTHER <br /> OTHER — <br /> I HEF'.EBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORiv1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON RACTORS LAW 18.27 R N�q� ND 2�WAC. <br /> � � � 7 <br /> gn ture of OwnedContractodAuthonzed Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />