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, <br /> P�RMIT APPLICATI�, �V <br /> CITY OF EVEFiETT PERMI�' SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.p PERMI7 a <br /> /36,�'� 'X�-� ? o��sY/� o /s�o Mozc�s-oL� I <br /> LEGA LOT NO. BLOCK TRAC7' <br /> DESC. �� f'� Lo� /r( /7 �pp <br /> , i <br /> OWNER '� I �F/� AODRESS ZIP PHONE I <br /> � e o o%� e .��/�.s c�i� / a.s`�� o'�h s �` 7�ez a / � J 9- /�f 7� <br /> TENANT NAME CONTACT NAME PHONE <br /> J��PGbGi�C TJC�/7fP/,► I <br /> CON�AAC�T�R��_ /7 A��RESS /��O /�7 ZIP CONTR.LICENSE N <br /> U._� ,7-i,.a�l�i,��.., /J�i<�� �}�e � ��'�� <br /> PHONE/L�� pd�E,�/losn ivS�" <br /> �' v '� a.5 9'- /,/ � 2/ <br /> PROPOSED USE OF BUILDING Buildin� Mecitanical Addition HEAT SOURCE <br /> PERMIT � Cort:bination � Plumbing WORK � Alteralion � Electric <br /> TYPE Demolilion Sign 7YPE New Gas <br /> Sprink�er Repair/Maint. Other <br /> CONTRACT PRICE OF WORK .� G Sa � '� �"S-�.�s Td �C CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br /> WORK DEaCRIPTION � A � ��� '��y /��.. ���� � ��� � <br /> .�-j�`��,•^c�'c�- �- 6 <br /> �� <br /> o�--��CP rd--a.� �l�ed�,�-,� �--���e <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET _ A/C-A/HANDLING UNITS <br /> _ BATFITUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK& DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY � WATER HEATER <br /> ._ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL � FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN � GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER � GAS PIPING <br /> _ SINK lSERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I HEFEBY 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 GOVERNING THIS TYPE OF WOFK WILL DE COMPLIED N/1TH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GqANTI`JG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFiOVISION OF ANY OTHER <br /> STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WOHK FOR WHICH APPLICATION�S MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> �"`�i,-- i� /oZ r�� O 2 <br /> SignaNre of OwnedContr odAuthor¢ed Agent Date <br />� — <br />