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� PERMIT APPLICAI ION <br /> CITY OF EVERETT PERMII" SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS � , �� / PARCEL TAX I.D.# 3U d P�RMI7'# <br /> �.�1� � �, GU ,�? l� 4Z� �SS �� C. D ��%�- ,� <br /> IEGAL LOTNO. BLOCK TRACT <br /> DESC. �J r C.� - C� � �F ' � <br /> OWNER DDRE55 ^ ZIp PHON <br /> - rH�rc �,C, ��90.� /<70'"'�. ��,�/ ,L,�NNd�Lz�,%� v� • 7 .s-a�3a <br /> TENANT NAME CONTACT FOR PERMIT pHONE <br /> I �l,E'!'-.�' �sFYa.v�,GG� �,���� �SG-c��'d `f <br /> CONTRACTOR� ADORESS ZIP CONTR. LICE SE# <br /> .�xpi2� �`�Sloµ <br /> PHONE SA M.E -�1� �Ulat�� ��,S l � � 1 �"/ `r H <br /> r�� <br /> PROPOSEDUSEOFBUILDING f� Building I� MechaniCal Additlon HEATSOURCE <br /> n /� PERMIT �� CPmbinalion �� Plumbing WORK � AltPration � Electric <br /> \ ��i` TYPE �1 Demolition LJ Sign 7YPE New Gas <br /> �" �` �-� S rinkler Re ai./Mainl. Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LO^AL SALES TAX CODE IS 3105 <br /> WORK�ESCRIPTION <br /> /��� .��,� � � ic� �a 53 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. 1YPE OF FIXTURE OR ITEM <br /> WATcR CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB _L FORCED AIR SYSTEMS <br /> /� LAVATORY(WASH BASIN) HEAT PUMP <br /> r SHOWER UNITHEATERS <br /> ! KITCHEPJ SINK& DISFOSAL �_ CLOTHES DRYER <br /> ! DISHWASIi[R RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> � CLOTHES WASHER METAL FIREPLACE/S7'OVE <br /> URIIJAL FIREPLACE INSERT <br /> = DRINKING FOUNTAIN � GAS FIREPLACE <br /> FLOOR DRAIN CAS RANGE <br /> _ BACKFLOW PREVENTER ,� GAS PIPING <br /> __ SINK(SERVICE/BARJMOP/ETC.) � EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOV=RNING THIS TYPE OF WORK WILL BE CCMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VI�LATE OR CANCFL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATWG CCK�TRUCTION OR THE PERFORMANCG OF CONSTRUCTION. THAT I AM AUTHORi2ED BY THE <br /> OWNER OF TFJ�S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACT 5 LAW 18.27 R �yV A 29fi.200 W O. <br /> � a �, , <br /> u <br /> Sign tur� wq Conlra odAut or ed Agent te J <br /> / L <br /> DEBIT & CREDIT CARDS ARE NOT ACCENTED � <br />