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ERMIT APPLICA�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL 7AX I.D.# PERMIT# <br /> /r 1 IS{�Av�. :C- Acoc,A su��r�o�i no5���v��vi , v1 rn�3 �( 'dl� <br /> LEGAL LOTNO. BLOCK TRACT <br /> �ES0. �� I�LfWS <br /> OWNER � ALORESS ZIP PHONE <br /> /.�ONTJNAS ��HaNcyEFacruTaToe_ /.'J.l3oy.�l90 G.jt/c.��� t�p. ��103 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> !,l� %CNANI� I �e'e'ey �DAL Z/L�'L �/.1.5-7g8 a..430 <br /> CONTRACTOR ADURESS ZIP CONTR.LICENSE# <br /> p�yjnpr� Mt�NANK�A�-TJ�'G �-17��4 66y^�VG�. W. 5'u��c.�'3o� <br /> PHONE <br /> mouNTc��,�r j�.�ac��q. yoti3 oc. rnJ7ool <br /> PROPOSED USE OF BUILDING Building � MechaniCal Addition HEAT SOURCE <br /> PERMIT � Combinalion Plumbing WORK � Alteralion � Electric <br /> ,.,� TYPE Demolition Sign TYPE New Gas <br /> �zv" /N1�—� FF/«% � Sprinkler Repair/Mainl. Olher <br /> CONTRACT PRICE OF WORK • S��� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORKDESCRIPTION �JSTALL / IZOJr`%OP /-IUA� UN�r Ct//Tf'b OLiG� OROP§ TH��� /Zr.�F <br /> ilSSc�n�cy �o� Tc.�r,/� Nc.�i. Acso fn � ���pc.� To (l/ f�UA[ U/ul(f�.�.b Z,� c� �,�,2 <br /> F'�t7u�c Tc✓v�n;� Sin�o,�✓���vT <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSF_T(TOILET) � FVC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER _ RANGE H000 <br /> LAUN�RY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR CRAIN GAS RANGE <br /> BACKFLOW PREVENTER _L, GAS PIPING <br /> SINK(SERVICE/BAR/MOP/E7C.) EXHAUST FAN <br /> OTHER OTHER <br /> I i HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> IPROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SFECIFIED 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 PERFORMANCE 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 /> CONT CTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � /�-�2t.c-P // 7 U"� <br /> Sig Wre of nedConlr or/Aulhonzed Agent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED �/L <br /> I <br />