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P�;RMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982Q1 <br /> 425-257-8810 - FAX 425-257-8@57 � � ������j��9p�� <br /> �'c.-G..1•-� <br /> SITG A DRESS 'r' � PA CEL TAX I.D.11 �� PERM�p`�ZZ <br /> � c� n�yY1 <br /> �%! l JZ C�V�-v <br /> DESC. L07 N� BLOCK TRACT j^ ��O�I /�� <br /> I� <br /> OWNER ADDRESS ZIP 'HONE <br /> �E � �� /�3z� yE� o•-N%' S,✓��i�yi��' 9d'�'� i�I-1�7/u�� <br /> TENANTNAME I CONTACTNAME PHQNE <br /> CONTRACTOR Gv�,r- Ce �N- ADDRE53 �'.4-�,..� E= ZIP CONTR.LICENSE M <br /> PHONE �2 S- y 7/' Z 7 L � <br /> PROPOSED 115E OF BUI�DINO I p�'9uilding � Mechanicel AtldiUan HEAT SOURCE <br /> PERMIT ����� Cambinatlan Plum6ing WORK Allerelbn Electnc <br /> TVpE K Damolillan Sign TYPE ew <br /> LJ Sprinkln� Repeir/Main!. Olhar <br /> CONTRACT PRICE OF WORK /�/`�d? � CITY OF EVERGTT LOCAL BALE9 TA%CODE IS 3105 <br /> // /J <br /> WORK ESCHIPTION <br /> �,� nut�� /�.r w S, /' <br /> PLUMBING MECHAtJICAL <br /> N0. TYPE OF FIXTURE OR REM NO. TVPE OF flXTURE OR REM <br /> WATER CLOSET A/C- VHANDLING UNIT5 <br /> �� BATHTUB � FORCED AIR SYSTEMS <br /> LAVATORY�WASH BASIN) HEAT PUMP <br /> j / SHOWER UNIT HEATERS <br /> I � KITCI EN SINK 8 DISPOSAL � CLOTHES DRYER <br /> � DISH'.�ASHER RANr,E HOOD <br /> � LAUNDRY TRAY � WATER HEATER <br /> j � CLOTHES WASNER _ METAL FIREPLACE/STUVE <br /> UFINAL FIREPLACE INSERT <br /> � DRINKING FOUNTAW I � GAS FIREPLACE <br /> I _ FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER �_ GAS PIPING <br /> j _ SINK (SERVICE/BAR/MOPIETG) �L EXHAUST FAN <br /> OTHER OTHER _ <br /> - I <br /> I HEREBV CERITIfY:HAT I HAVE READ AND EXAMINED THIS APPUCATION ANO KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WOPK WILL tlE COMPLIED WITM WHETHER SPECIF�ED HEREIN OF <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE RUTHORITY 10 VIOLATE OH CANCEL THE PROVISIC�N OF ANY OTHF.R <br /> STATE OR LOCAL W REGULATING CONSiRUCTiON OR TME PERFORMANCE OF CONSTRUCTIOIJ THAT I AM AUT110RI2ED BV THE <br /> OWNEi7 OF THIS P PER ?O PERFOFM THE WORK FOR WHIGH APPLICATION IS MADE ANO I COMPLY WITM THE STATE <br /> � CONTRACTOPS �B. R W AND296200 WAC. <br /> 3 id�Z <br /> ignalure wnerl onlractor/ ulharized genl ele <br /> ��a � <br />