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i ; <br /> NERMIT APPLICAI �OId <br /> CITY OF EVERET'T PERMIT SERVICES <br /> 320U CEDAR STREET, EVERETT, VVA 98201 <br /> 425-25'-8810- FAX 425-257-8857 <br /> SITE ADORESS PARCEL TAX I.D.# PERMIT tt <br /> 7� / S /2 �r.�vc Lr/ 2�o�// �ZGY���� �/ Co3i1-035 <br /> __.;.+._ LOTNO. BLOCK TRAGT <br /> o=_s�.i� 2- I I I /�mr'�fi C�'r c � G�rrc.f��S <br /> 01YNER ADDRESS Qox CGlt/ ZIP PHONE �Z� <br /> �rn�/c�sor� 'S C...��4��:Nh �nl. `�'dH [vOo�/ lr/.a-, 9b��G' �7L-�f� <br /> TENANTNAM[ CONTACTFORPERMIT PHONE <br /> Tl�G� �7hUC/'so h `/L 7 72 - ZO.�� <br /> � �lCONTRACTOR ADDRESS (J o x G 6 y/ ZIP CQNTR.LICENSE# <br /> rrtM(�iifanf �oi+�i�icr�ifs rs.G, LrNHL.�ca� U/.�'- <br /> PHONE '9j'b.3 � ?fN.�E��lld.�L 1✓, <br /> G/2T 772- ?.�.rtY <br /> ?ROPOSED USE OF BUILDING BUilding MeChaniCal ACCihon HEAT SOURCE i <br /> S � ^ PERMI7 � Combination � Plumbmg WORK � ,Nteration � Electdc I <br /> JL TYPE Demolition L/ Sign TYPE New Gas <br /> Spnnkler RepaidMaint. Other <br /> CONTRACT PRICE OF WORK I CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL � <br /> NO. I TYPE .'lF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM � <br /> 3 I VJATER CLOSET (TOILcT) -D" A/C—A/HANDLING UNITS � <br /> 3 BATHTU9 /� FORCED AIR SYSTEMS <br /> ? LAVATORY(WASH BASIN) HEAT PUMP �� <br /> I� SHO'NER � UNITHEATERS I <br /> / Y.ITCHEN SINK 8 DISPOSAL � CLOTHES DRYER <br /> _L,� DISHWASHER � RANGE HOOD <br /> � � !AUNDRY TRAY � WATER HEATER <br /> �I CLOTHES'NASHER .B- 1,1ETAL FIREPLACE/STOVE <br /> �" URINAI i7 FIREPLACE INSERT <br /> � DRINKING FOUNTAIN _� GAS FIREPLACE I <br /> -PY FLOOR DRAIN GAS RANGE I <br /> �d BACKFLGW PREVENTER GAS PIPING i <br /> � SINK(SERVIC6BAR/ldOP1ETC.) � EXHAUST FAN I <br /> OTHER OTHER <br /> — _ � <br /> — I --- — j <br /> �'.EREBY CERITIF'/THAT I HAVE REFD AND EXAIdINED THIS APPLICATIOM AND KNONl THE SAME TO BE TRUE AND CORRECT. ALL <br /> �'��CL9SION5 OF LA';JS AND ORIDRlhCES 30VERNWG THIS TYPE OF PJORK WILL�E COMPLIED WI7H WHETHER SFECIFIED HEREIN OR I <br /> . ' TH`c GkANTING OF A PERL7IT DOES NOT PRESUFAE TO GIVE AUTHORI iY TO VIOLATE OR Ci.PiCEL THE PROVISION OF ANY OTHER j <br /> . ":�T'c GF LOCnL!.AY/REGULATING CONSTRUCTION OR THE PERFORtAANCE OF COIJ,�'iTRUCTION. THAT I AM AUTHORIZED BY THE �'. <br /> '�Y:NER OF i HIS PROPERT/TG pER"rOR1A THE'lJORK FOR WHICH APPLICATION IS�AADE ANO I COMPLY'NITH THE STFTE �, <br /> 'J�MTRACTpRS LFV! 78.27 RC'!1 AIJD 2�6.200 WAC. i <br /> �,,/�� 2����i� // /G � � <br /> �.qnah�re cf� menContrar_tonhuthonzc hr,ert Dale ��� <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED ! <br />