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i - <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRE3S PARCEL TAX I.D.• PER i7 K <br /> ��T� u� . �. q�� � o o� . o �l 2-� <br /> LEGAL LOTNO. BLOCK TRAC7 <br /> DESC. �(G I <br /> OWNER AQDRESS LP PHONE <br /> ��I��NF+ft SG��RE �r-�'ES�rI��NfS Po (�.K to5zi SwHcµr�i-I w� �t8z�( yz5-'17y-6841 <br /> TENANTNAME CONTACTFORPERMR PHONE <br /> W�SH7FK.TON sl'A'fE �6i� �YRN LYNti' y2S-77�J"�`/� <br /> CONTRACTOR AODRESS ZIP CONTR.LICENSEi <br /> CL�/��1�fL NIEC(f�1�CAC TI-{„ PO &=k 53zW LYuNti•,uu0 wA �1�0`16 CX-y/..�PMSi'ibUl <br /> PHONE LI ZS--I_I�I ���"I I <br /> PROPOSED USE OF BUILDING I TMPE'T B Sp nklle�nion�Pl9mti ng � TMPE {�R��a��, HEAT SO����E <br /> L) �OMer <br /> CONTRACT PRICE OF WORK ���Y� !�^� �� CITY OF EVERETT LOCAL SALES TAX CODE IS]105 <br /> �c%' <br /> WORKOESCRIPTION �NSi,q �L GN� �vi�c,v CARR�fiC G-�S C�c�o�OP 1�'cck�(� ��Nst- <br /> 1�.��TH ��v�p�EC�C Oc.�cq sysi Rr� AND u �zo�r� s c��ccM.��Rvl,.� -itasir��� <br /> (',C�I.�PL6T�' 1k.�c'� `�ySTfclv� `oK ONE f�kTSTC(JC,- G+�S 'Zck��T�(' 1 �jCK`iGF I.�NLi. <br /> c��s PsP� TC) 11t� t�'Ew 2cz�FTOC' L.hl�1. zN`-�1�L(, GN( 1-T�F.� �c-TLfS� s��CT W�yi'Si <br /> PLUMBING MECHANICAL <br /> NO. � TYPE OF flXTURE OR REM NO. TYPE OF FIXTUF�:=OR ITEM <br /> WATERCLOSET �� A/C-AhWNDLINGUNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAI. CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/^uTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER � GAS PIPING <br /> SINK(SERVICE/BAR/MOPIETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I FIEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFlECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 61VE 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 WITM THE STATE <br /> CONTRACT LAW 1827 RCW AND 296.20�WAC. <br /> J 2- /�`UL <br /> Si tu oL e7ContractodAuthorized Agent Dete ,/ <br /> Z <br /> DEBR 8 CREDIT CARDS ARE NOT ACCEPTED <br />