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i�— �P�RMIT APP�ICATIO� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAft STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � l�l l�l�E.�. 14�71�...��- Xc�`Ir�G-OCZ_ <br /> LEGAL LOTNO. BLOCK TRACT <br /> IDESC. GG3 _ <br /> OWt:°R ADDRESS ZIP PHONE <br /> TENANT NAME I CONTACT FOR PERMIT Pi+.!lNE <br /> s'"��m�c�5 <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> �t/o�-�{ WeST {>lum��nCj <br /> PHONt <br /> PROPOSED USE OF BUILDING Building MeChanical �Addition I HEAT SOURCE <br /> PERMIT R Combination �Plumbing WORK � Alieratlon � ElecVic <br /> TYPE g Demolilion Sign TYPE New I Gas <br /> Sprinkler Repa�dMaint Other <br /> CONTF'ACT PFICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WOR!',�ESCRIPTION <br /> � R� ��� �. <br /> PLUMBING MECHANICAL <br /> —NO. � TYpE OP FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> —�--- <br /> � ' WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> � BATHTUB FORCED AIR SYSTEMS <br /> �_ LAVATORY(WASH BASIN) HEAT PUMP <br /> _I SHOWER _ UNITHEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> __ CLUTHES WASHER h1ETAL FIREPLACE/STOVE <br /> URINAL rIREPLACE INSERT <br /> _ _I U!?INKING FOUNTAIN GAS FIRE°LACE <br /> ' PLOOR DRAIN GAS RANGE <br /> _j "�CI:FLOW PREVENTER GAS PIPING <br /> ' SI�VK(SERV�CE.�BAR/MOP/ETCJ EXHAUST FAN <br /> � 07HER _ OTHER <br /> � <br /> --4—i — 1 f _ , <br /> I I HEREBY CERITIPY THAT I HAVE READ AND EXAMINED THIS APPLICATI IN AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL II <br /> IPROVISIONS OF LAWS AND ORIDINACES GOVER�ING 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 PERFQRMANCE OF CONSTRI�CTION. 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 /> CONTRACTORS LAW 1 . 7 RC'N AND 296.20U WAC. <br /> ��l �11 �!�'I � 6 _C. C —� �l <br /> Signature of OwnedContractodAulhonzed Agent Date <br /> DEBIT& CREDIT CARDS ARE FIOT ACCEPTED <br />