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P�cRMIT APPLICATILN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � �� � E I ._ I �b ��1 4 7 � o I O I 6 a � I ���3-�Z <br /> LEGA LOTNO. OLOCK TRACT <br /> DESC. <br /> OWNER ADDq ESS ZIP PHONE <br /> ^ Q.o. 0oyc I o59 <br /> OJlq0.di .. 11C�c�oom<Hf Sr�o� 'S� l�A 9sa5 , �ia5 • 33y •50, 8 <br /> TENAYIT NAME � I CONTACT FOR PERMIT PHONE <br /> m ; kt I�;n�o� 36� • 65i - 7��� <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE p <br /> .st�;th F�R-t S.tb+cros 3tPt3 I68 ��` 5{ . N E d / <br /> PHONE . SM=TN' FS 1 36oT <br /> 360 - 651 - �'] oi � �� � ^��o..• lJa , 9saas <br /> PRGPOSED USE OF BUILDING Building Mechanical Addition' HEAT SOURCE <br /> PERMIT � Combination R Plumbing VJORK R AueraGon (7 Electric <br /> R CS�A v Q 4�� TYPE Demolition D Sig� 7YPE D New � Gas <br /> Sprinkler U RepaidMaint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> WORK DESCRIPTION <br /> Re�ocqic EY15'{;ny SP/Linklcc5 '�'o Accom�qdn�i� le�a.�} }mP2o✓�.�.c,� f . <br /> r <br /> � I � FIeRc15 � <br /> l <br /> PLUMBING MECHANICAL <br /> NO. 1YPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br /> WATER CLOSEf(TOI�ET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(W�SH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> _ KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> BArKFLOW 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 A�VD KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITN WHETHER SPECIFIED HERE�N OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROV�SION OF ANY OTHER <br /> STATE OR LOCAL L�W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOWZED BY THE <br /> OWNER OF THIS PROPERIY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> TRACTORS LAW 1 27 RCW AND 296.200 WAC. <br /> �._o�+_ ��.,.-1�_ 3 ' 1 ' O `� <br /> Signature of Owner/ ontractodAuthorized Agent Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED '� <br /> I <br />