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P�RMIT APPLICATIC�N � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, V��A 98201 <br /> 42�-257-8810 - FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D. # P RMIT# <br /> ��,G��; ���, pl� . s� , �,- ;_ o0o n1-�- �o v z, �3a7-� <br /> LEGAL LOTNO. BLOCK TRACT <br /> OW ER ADDR SS/�� �C ZIP PHONE <br /> , 42s �io Crz- 1 <br /> r�r�c� Ga.-ro{2. ioc,op, l�" D� .5.2 ���P-�Zr ��?1�f� � <br /> TENANT NAME CONI'ACT FOR PERMIT PHONE <br /> ---- ---._— � %LI,L����� <br /> CONTRACTOR ADDRESS ZIP CONTR. LICENSE# <br /> PHONE <br /> ' , ' � , <br /> , <br /> PROPOSED USE OF BUILDING Building fl Mechanical Addition HEA'i SOURCE <br /> P[RMIT Combination �-� Plumbing WORK Alteration R Electric <br /> f ( L/ Other <br /> �,7,�.��� . TYPE Demolition IJ Sign TYPE New Gas <br /> �,� � � Sprinkler Repair/Mainl. <br /> CONTRACT PRICE OF WORh:AZ� 3 C�D ' `� � �� , ' ' CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> YP i ;�. <br /> WORK DESCRIPTION <br /> aon cc��.��r��r� EHTu`i c�r-:c�_ 4 r lo+�, i�� .s,c-. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C–A/HANDLING UNITS <br /> BAiHTUB FORCED AIR SYSTEMS <br /> LAVATnRY(WASH B/1SIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> � KITCHEN SINK E DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WAT[R HEATER <br /> CLOTHES bVASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREP;ACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/E'fC.) EXHAUST FAN <br /> OTHER OTHER <br /> �HEREB`!CERI7IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL B[COAIPLIED WITH WHETHER SPEGFIED 4EREIN 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 CON6TRUCTION. THAT I AA1 AUTNORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOR61 THE WORK FOR WHICH P.PPLICATICN IS M>DE AND I COIdPLY WITH THE STATE <br /> CCi•ITRACTORS�LAW 1B.27 RC�HND 9"0.200 WAC. <br /> 1'�/<.cr//�' /'%�(C /cLt�.��� - �- . C J' <br /> � C�/ , � <br /> I SignaWre o(Owner/ContractodAuthorized Agent �ate � <br /> L <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> i _ _ - -- <br />