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P RMIT APPLICATI IV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425-257-8810-• FAX 425-257-8857 <br /> � xG�� - �� I <br /> SITCE�ADDRE�)SS / PARCEL TAX I.D.# PERMIT a I <br /> () `'C� ���1.1,111. J� <br /> LEGAL LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> ��5� 12t�e on��- <br /> TENANT NAh1E CONTACT NAME PHONE <br /> CONTp_�11 1' � � 1"O�..JO 7��H�S (O o�-- V�I �'[�l l �g�iONTR•I�P�� Jti�n <br /> /�4 � <br /> l� -( <br /> _. NE /�.� ' — IyK� <br /> r/ � <br /> PROPOSED USE OF BUILDING Building I""1 Mechanical Addition HEAT SOURCE <br /> / ���111� PERMIT Combination �f Plumbing WORK RI,-4 Alleralion Electric <br /> ��` � TYPE Demolition U Sign IYPE �New R�—( Gas <br /> Sprinkler L� Repair/Maint. V Other <br /> CONTRACT PRICE OF WOAK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WOFiK DESCRIPTION <br /> �/Gl rn..5.�.5 � �C.�z�kiV �a-7"`�-� � <br /> J <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET A/C—A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR S'lSTEMS <br /> LAVATORY(WASH BASINI _ 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 FIREPLP.CE INSERT <br /> DRINKING FOUNTAIN GAS FIf�EPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRFCT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFiED HEREIN OR <br /> tIOT. THE GRANTING OF A PEFMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRQVISION OF ANY OTHER <br /> STATE OH LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMA�ICE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OV�'NER OF THIS PROFERTY TO PERFORM THE WORK�OR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> C Nl'?ACTORS LA 8.27 RCW AND296. OO WAC. <br /> � l <br /> i <br /> Signalure ol Ow d onlrac odAulnorized Agent Date <br />