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- _ - - -- , - <br />�ERMIT APPLICAT iON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />' 425-257-8810 - FAX 425-257-8857 <br />i <br />�; SIT[ ADDRESS � PARCf:L TAX I.D. p-,3�` °vy PERMIT a <br />! /// 2 �i'9 S; . S /.J, a .�� �� �1 �. 3i_,�, � �� .,-c � G C: z! S// - �> �� � <br />LEGAL LOTNO. BLOCK <br />DESC. 'lL% <br />[7L�_TJL���1-��--�]fJ�J'/_(�.��d.1�1��rN�/«cr�.ctrt yxo,�/ cy,�s� rr� ��d�-; <br />TENANTNAME CONTACTFOR PERMIT � PHONE <br />-- - -- - ��e�_L_'N�,�a,�,c,e (3��) �sa -v�v �f <br />CONTRACTOR ADDRESS 21P �%�,O���LICE_I���fo� <br />L <br />PHONE �A�� �g �"� � � ��.5 l N�.,1 �HT N <br />�.�.�:, <br />PROPOSED USE OF BUILDING � Bwldmg MeCheniCBl <br />I PERMIT � Combination � Plumbiny <br />� ^ TYPE Dr,molitlon Sign <br />� L Sprinkler <br />----�j_._--- _ _ _ --- - - - - <br />CONTRACT PP.ICE OF WORH <br />WORK D[SCRIPiION <br />/���� S�� � <br />UMBING <br />1 i7 ���] i � i3 lq: i��l :U l� �:I <br />WATFR CLOSFT �TULfT) <br />onniru� <br />LAVATORY (WASH �ASIIJ� <br />SHOW[R <br />KI7CH[N SINK 8 DISPOSAL <br />DISHWASHLR <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DI�INKWG fOUNTAIN <br />FLOOR DRAIN <br />�ACKFI.OW PREVENT[R <br />SINK (SGRVICEi�AR/MOPIETC.) <br />OTHER _ <br />AddlGon HFAT SOIIRCE <br />WORK B Alteiahon � Electnc <br />TYPE � New Gas <br />�� Repair/Maml Olher <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 7705 <br />'� �,��5% <br />NO. I TVPE OF FIXTURE OR ITEM <br />I A/C - AfHANULING UNI I S <br />'� FORCED AIR SYSTEMS <br />I1EAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />'NATER HEA7ER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EXH.4UST FAN <br />OTHER <br />II HEREOY CERITIFV THAT I HAVE REAU AND EXAMINEU ihIIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS UF LAWS ANU URIUIN�CES GOVERNING iH15 TvpE OF WORK WILL BE GOMFLIED WITH WHETHER SPECIFIED HEREIIJ OR <br />iNOT. THE GRANTWG UF A P[RAfIT DOES NOT PRESUAIE ?0 GIVE AUTHORITV Tp VIULATE OR CANCEL TME PRUVISION OF AN� OTHER <br />STATF UR LUCAL I.AW RE� il ILATMG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BV 1HE <br />I OWNFR OF i111S PROPERTY TO PERFORh1 THE N�ORK FOR WHICH APPLICATION IS h'4�E AND I COMPLV WITH THE STATE <br />I CONTRAI'T 2S L�W 19 7 R' AND 296:Q0 VJAC <br />i ,�`..� �'� �� �� �� l <br />iSiy aty ul ieiil,ontractouAulhunzei Ayent Date 1 <br />� ` DEBIT S C►ZEDIT CARDS ARE NOT ACCEPTED (Z <br />