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f =RMIT APPLICATi )N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CF.DAR STREET, EVERETT, WA 98201 <br /> 425457-8810- FAX 425-257•8857 <br /> SITE ADDRESS PARCEL TAX I.D,N PERMi7� I <br /> Isi 3 , i o�i�� y�l 5.� � coao�-oa ' <br /> LEGA LOT N0. � BLOCK TRACT�� �� / <br /> DESC. <br /> OWNER AUDRESS ZIP PMONE ` 25 <br /> �.�� F►.r�2��,s� s �� �,�. (j�X 3��0�1; �u1'. q6z�3 4zz -�S�S' <br /> TENANTNAME CONTACTNAME PHONE <br /> I ��c.T�. 1'Zei►JCICr s}-1�-�t�2Z - `ISBS <br /> COHTRACTOR ADDHES3 ZIP CONTiI.UCENSE M <br /> P 0� E��ii. ,�L�St_S rH.J `L: ��D, 130k �4' C l,� ��S L03 J <br /> PMONE ^.�� �'�Z '���jL-�' � I O Q E��UZESC <br /> ry CJ--� <br /> PROPOSED USE OF dUILDINO Building I") Mechanical Adtlllbn HEAT SOURCE <br /> PERMIT ambinetlon E_� Plumbinp WORK rr.lbn trw <br /> J�� TVPE Demolllion �� Sign TVPE New Gaa <br /> Spdnkler Repair/Memt. Oi�+er <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> WORK DE9CRIPTION (L,s�C 2 L �� <br /> �u� <br /> PLUMBINC, � MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TVPE OF flXTURE OF REM <br /> �� WATEF CLOSET A/C—A/HANDLINO UNITS <br /> �� BATHTUB � FORCED AIF SYSTEMS <br /> y LAVATORY(WASH BASIN) HEAT�UMP <br /> SHOWER UNIT hEATERS <br /> � KITCHEiJ SINK 8 DISPOSAL Z CLOTHES ORYER <br /> � DISHWASHER � RANGE HQOD <br /> LAUNDHV TRA! � WATER HEATER <br /> � CLOTNES WASHER METAI FIREPLACE/STOVE <br /> _ URINAL FIFiEPLACE INSERT i <br /> DRINKING FOUNTAIN � GAS FIREPLACE � <br /> FLOOF DFAIN OAS RANGC <br /> _ BACKFLOW PREVENTER � GAS PIPIN�3 <br /> SINK(SERVICE/BAR/MOP,'ETC.) EXHAUS7 FAN <br /> nTHER _ OTHER_ <br /> I HEREBV CERITIF`/THAT I HAVE READ ANO E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVE.aNING THIS TVPE OF WORK WILI.BE COMPLIEO WITM NNETHER SPECIFIED HEPEIN ON <br /> NOT. THE GRANTING OF A PFRMIT DOES NOT PiIESUME TO GIVE AUTHORITY TO VIOUTE OR CANCEL TNE PROVISION OF AIJY OTMER <br /> STATE OR LOCAL U1W REGULATING CONSTRUCTION OR THE PERFORMANCE UF CONSTRUCTION. THAT 1 AM AUTHORIZED 9V TME <br /> NER OF?HIS PROPERN TO PERFORM THE WORK�OR WMICH APPLICATION IS 61ADE AND I COMPLY WITH THE STATE <br /> NTRACTOfiS LAW 18.27 PCW AsJO 298.200 WAC. <br /> �� � C' ='}�',� � ��-C�Z_ <br /> Ignalu wno�i onlractor/ u honzed genl ele <br /> 1�� <br />