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— _ __ ------ _ _ _. _. . _ _ -- - ---- - <br /> �NERMIT APPLICAI iON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3'�00 �EDAR STREET, EVERETI�, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADDRESS I PARCEL TAX I.D. # 3� � PERMI7 a � <br /> --� �� /d�'` �l �(/. �'o y � �sq �U �C-� // � G ,��_ I <br /> .:�„a�;� LOi NO �LOCK TRACT <br /> ',:� i` �G r�a C•P.�.�K ���v�rs � �,e��G <br /> 01VNER ODR:SS ZIP PHON <br /> ���H�rc �,C�y� /�7G�'��. �.�1�,� L,,�Nti�l�%?����� 7 s-a�3a <br /> TENANT NAAIE CONTACT FOR PERMIT PHQNE � <br /> �fK�CG: LNF1it�d L��' (.�v�� �SU -U�"u `f � <br /> CONTRACTOR ADDRESS ZIP CONTR. LICE SE <br /> S �X;��.S �7s�o� � <br /> PHONE rI"'I.E T�v l_.l.�.JI�G� ���J ` I�� �0 H"` H <br /> ?ROPOSED USE OF BUILDING Buildmg Mech7Ncal Addilion HEAT SOURCE <br /> PERId1T � Combination � PlUmbl�g K'ORK � Allor�lion (� Elcdnc <br /> 7YPE Demolition Sign TYPE New � i]as i <br /> ��� Spnnkler RepairiAlaim a Omer <br /> CONTRACT PRICE OF WORK CITY OF EVERETf LOCAL SALES TN(CODE IS J705 <br /> �1'/ORK DESCfili`TiON /, i„ / �{� � .�J�?? �%L � �� �`� — _ <br /> /�•F�'� i <br /> PLUfdBIWG MECHANICAL I <br /> NO. � TYPE OF FIXTURE OR IiEM NO. TYPE OF FIXTURE OR ITEM <br /> I <br /> �, `.YFTER GLOSET (TOILET) . A/C—NHANDLING UNITS <br /> ` I BATHTUB _� FORCED AIR SYSTEMS <br /> �� L1+VATORV(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> [ KITCi1EN SINK E DISPOSAL � CLOTHES DRYER <br /> .f DISFiWASHER � RANGEHOO� <br /> IJ.UN�RY TRAY WATER HEATER <br /> _� CIOTHES WASHEP, METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE IfJSERT <br /> DRINKING FGUNTAI�J GAS FIREPLACE <br /> FLOOP. DRAIP7 � GAS RANGE <br /> _= BACKFLOWPREVENTER � GASPIPhJG <br /> 9NK(SERVICE/BARilAOPiETC.) � EXHAUST FAN <br /> O7HER OTHER <br /> r�EREDY CERiTIFY THAT I HAVE READ AND E)(i.fdINED THIS APPLIC^.710N AND HNOW THE SAME?O BE TRUE AN�CORRECT. ALL <br /> ��?O`IISIDNS OF LFVlS AND ORIDINACES fOVERHI1dG THIS TYPc OF WORK WILL 6E COMPLIED N'ITH WHETHER SPECIFIED HEREIN OR <br /> '�';T TME GRAN7ING OF A PERI-0IT OGES NOT PRESU�AE TO IiIVE AUTHORITt TO VIOLATE OR CANCEL THE PROVISipN OF ANY OTHER <br /> ":.iE OR LOCAL lA'JI REGULATING CONSTRUCTION OR THE PERFOR1AAtlCE OF CONSTRUCTION. THAT I AM AUTHORIZE�PY THE <br /> '.Y/NER OF THIS^rROPERTY TO PERFORfd THE WORK FOR WHICH APPIICATION IS fdADE AND I COMPLY WITH THE STATE <br /> ,;!liRH RS'J.Y! 18 P, NAND2452 WAC. <br /> �� lU � . , <br /> �.-�nt o ' er/Contrectorl uthon�PO Ayen1 Date <br /> DEBiT 8 CREDIT CARDS ARE NOT ACCEPTED �L <br />