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+ <br /> P' RMIT APPLICATIUN <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.# PE M T tt �� <br /> 111119 IqT° flvc . S. E. c io3 005 ��/7 ooioib� i 4G�p �J <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER A. DRESS ZIP PHONE <br /> MAR�neR Sr�ua�e� J-nJLS'F,,,�.,i P.o . $ox IoS9 S„ �,o,� sl. 98a�� Ha5 • 334 � So �g <br /> TENANT NAME I COIVTACT FOR PERMIT PHONE <br /> rJ�"Ar.. pr.�cs O. pne �"I n�o.. 360 - E 1 - ? 70l <br /> CONTRACTOR ADDRESS ZIP CON7R.LICENSElI <br /> Srn� +l, F;,�c Sys+e",s 38 �3 Ibgr`` Sd . N. E. y� Sm=T�fC's /36oT <br /> PHONE <br /> 3bo • 65l - 77v � Aali� 4 , ,, , 98da3 <br /> PROPOSED USE OF BUILQING BUilding MechanlCal AddiUon HEATSOURCE <br /> PERMIT � COmbina�i0n R Plumbing WORK R AlteraUon �'j ElecUic <br /> TYPE Demolition � S�gn 7YPE R New Gas <br /> Sprinkier L/ Repair/Maint. B Other <br /> CONTRACT PRICE OF WORK � I `i�DO— CITY OF EVERETT�OCAL SALES TAX CODE IS 3105 <br /> 0 <br /> WORK DESCRIP710N C 1 <br /> 1r. S�all FilLC JQ(1�.•.k�er� 5�S'}en. �o OR.oTcr..�- � cnAw � �MP,tovcMcn'f , <br /> \ <br /> (��to��a� � � - fl�a a Ne�s. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OP FIXTURE OR ITEM PIO. . TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITf;HEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WA'iER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTFIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAM�NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINAGES 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 VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TFiE PFRFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER l�F THIS PROPERTY TO PERFORM THE WORf:FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> TRACTORS LAW 18�7 RCW AND 296.200 WAC. <br /> .-- <br /> Signature of Owner ontractor/Authonzed Agent Date <br /> DEBIT & CFtEDIT CARDS ARE NOT ACCEPTED <br />