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�PERMIT APPLICAI ION <br /> ; CI'TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> I 425-257-8810 - FAX 425-257-8857 <br /> � SITE ADDRESS �, PARCEL TAX I.D.# PERMIT# <br /> � ��� i Z U�%� � 2��''b�/ /?C�G`� 3�0 `/ �D 3 I�� _Oo�� , <br /> LEGAL LOT NO. E3LOCK TRACT// /� <br /> I DESC.� 2 Z I pG�G•.�rh C/-C-. � �li.�('/Ys-> S <br /> :� OWNER ADDNESS Z!P PHONE <br /> h'.���'-<fs��> >s ��;, �i�,c�%.�; 'a",`�;C'i/ �-ii>i>1.��� yYC�3� <br /> TENANT NAME CONTACT FOR PERNAIT PHONE <br /> �/Z 1 7 <br /> �---� ��C'G�� �'!-/C�f�.S�ti %77_— -�� <br /> CONTRACTOR �,_� y�� �,�,�5 ADURESS ZIP CONTR. UCENSE# <br /> ���, ,� � ��,dDrcroc�sc <br /> /YL + �� ..�HC, ���� ���� � <br /> PHO�/Z r �� 2 - 2G S`�- < �/!/9(f am'� �.�(.J 3� <br /> PROPOSED USE OF BUILOING Building � Mechanical Addition HEAT SOURCE <br /> Sr � PERMIT � Combination Plumbing WORK R Alleralion � Electnc <br /> � 7YPE Demolilion Sign IYPE ��•New Gas <br /> Sprinkler d RepairlMaint. Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> WORK�ESCRIPTION (—c� <br /> j i.�%f. �C ,f� �Ci� � Z J D <br /> v ) <br />� �1��!/ S �•�f �Y �!i/"'� � f/�3f�--C <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR lTEM NO. TYPE OF FIXTURE OR ITEM <br /> �3 'Nf.TER CLOScT(TOILF_T) A�'C-A/HANDLIMG UNITS <br /> � BATHTUB / FORC�D AIR SYSTEMS <br /> J � LAVATORY(WASH 6ASIN) �. HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEiv SiNK 3 DISPOSAL CLOTHES DRYER <br /> L � <br /> ! DISHWASHER 1_ RANGE HOOD <br /> .� LAUNDRY TRAY _L NIP,TER HEATER <br /> � CLOTHES WASHER O iAETAL FIREPLACE/STOVE <br /> _4- URINNL Pl rIREPLACF_ INSERT <br /> � GRIN�(ING FOUNTAIN � GAS FIREPLACE <br /> -� FLOOR DRAIN -e� GAS RANGE <br /> � BACKFLOW PREVENTER � GAS PIPING <br /> � SRJK(SERVICEIBAR/MOPlETC.) � EXHAUST FHN <br /> OTHER OTHER <br />� �H'cRE9Y CERI7IFI THAT I HAVE REAG AND E;�A�AINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIOtyS OF LAWS AIJD ORIDINA(;cS GO�ieRNl.':G THIS TYPE OF 4NGFK WiLL BE COFAPIIED WITH WHETNER SPECIFIED HEREIN OR <br /> NGT. THE GRANTINi:OF A PERIdIT DOES NOT PR�SUTAE?O GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCFL LAW 4eGULhT!NG CONSTRUCTION UR THE PERFGR�dANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> UWNER�F THIS PROPERTY TO PcRFCRM?HE'NORK FOR WHICH APpLIC'r,TION IS MADE A�lD I COMPLY WITH THE STATE <br /> CGNTRACTORS lAW tA.2P P,CW AND 620G VJAC. <br /> � , i <br /> �. =�' L -���-�- ������3 <br /> I S�gnature ofj �rner/Conlractor/AuthonzeA Agent Date <br /> / <br /> i _ DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />