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PL. iMiT APPLICATI4_ � <br /> CITY OF �VERETT PERM;"f SERVICES <br /> 3200 CEDAR STREET, EVERF•Tf, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> 0�� a i�� -a� <br /> SIT AODFESS PARCEL TAX I.D.+1 PERMIT k <br /> ;,.� � r " '� � ,� � � , a.�fC�y36od-1loaoo �-�d�a-[))23 <br /> L GA L07 NO. BLOCK TRACT . �� _ ?O �O C� <br /> DESC. ' S � � J <br /> OWNER ADDRESS Z1P PHONE <br /> rnAr�eNE w �-� He�.s 34�\ ���Rn� t�R C.� 4&��a 3c�A 38� b03a __ I <br /> TENANTN"ME I CONTACTNAME PHONE <br /> 1'1'�ARIENE 1� �thF2S 3EA 34�� 603 � <br /> CONTRACTOR ADDRESS AP CONTR.UCENSEM <br /> ,011N W 1T11�e5 C`At�5jRC.�C�IOY� 3g1 woo� IA�D Dr � q61��a. Jonb�� ao� m� <br /> PHONE y� 3�7 bo 3 a • <br /> ✓W <br /> PROPOSED USE OF BUIL�ING � Building I"') Mechanical Addilion HEAT SOURCE <br /> PERMIT Combination F� Plumbing WORK � Alleration � Electric <br /> r TYPE Demoiilion iJ Sign TYPE New Gas <br /> �ES — 5 1" � Sprinkler Aepsir/Maint. Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT�OCaL SALES TA%COOE IS 3105 <br /> WORK DESCRIPTION I <br /> �.lE w COt�ST R.Uc'�ION <br /> PLUMBING MECh:ANICAL <br /> N0. TYPE OF FIXTURE OR REM NO. TYPE JF F:XTURE OR REM <br /> � WATER CLOSET A/C-A/HANDUNG UNITS <br /> � BATHTUB � FJRCED AIR SYSTEMS <br /> � LAVATOR'f(WASN BASIN) ._ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> �— KITCHEN SINK?. DISPOSAL � CLOTHES DRYER <br /> -� DISHWASHER � RANGE HOOD <br /> ILAUNDRY TRAY �= WATER HEATER <br /> �— CLO fHES WASHER METAL FIREPLACElSTOVE <br /> � _ UFINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> � FLOOR DFAIN _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> 51NK(SERVICElBAR/MOP/ETC.) � EXHAUST FAN �II <br /> OTHER _ OTHER_,� <br /> I -- ' <br /> 1 HEREBY CEFITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME T'J BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED MEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFiITV TO VIOLATE OR CANCEL"i ME PROVISION OF ANY OTHER <br /> Sl'ATE OR LOCAL lAW REGULATING CCNSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE I <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 29620G VGAC. <br /> �' 11CJ� �101�f��. `� � \�A 7 . <br /> Signalure ol Owner/ConlractorlAulhonzed Agent Dale /�- � <br /> �C��-,� 9 � � 'z. <br />