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P��RMIT APPLICAT"IGN � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDR�� n //`,r� F� 3� PARCEL TAX I.D.p I`� yti/,/ .�D <br /> C� V� <br /> LEGAL LOTNO. BLOCK TRACT — <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> ✓�us5 c� /� �� ���y'S �zl�- //O�`�Ic'.�S.c�` jS�r'S yis- 35-3 -,39.� — <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> CONTRACTOR�v����r�_ !)p�r j �/�qiy�ES .L`� c �y�J 21P CONTR.LICENSE p <br /> � ,'S ��� �(//r-�"(f.'7�Y �jZs�� <br /> PHONE y2 / ' ? � %' 2 �� � ;.��,,Cr7 EY<9NS:o��2 �� Z <br /> PROPOSED USE OF BUILDING BUildinc� Q� MeChaNCal AGdilion HEAT SOURCE <br /> � . I PEQMIT R COmbinallOn ��� Plumbing WORK � Alleration I � Electnc <br /> ✓���;, �� � TYPE �� Demolilion LJ Sign TVPE New Gas <br /> G Sp/inklef RepairlM?int Other <br /> CONTRACT PRICE OF WORK �O j n(1 CITV OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> WORK DESCRIPTION �[ <br /> H�s� �-r(';n�lf ��%/!/t� <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> I WATER CLOSET (TOILET) A/C–A/HANDLING UNITS <br /> I _ BATHTUB � FORCED AIR SYSTEMS <br /> __ LAVATORY(WASH BASIN) � HEAT PUMP <br /> �� SHOWER UNIT HEATER:; <br /> 'I KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> �� _ DISHWASHER RANGE HOOD � <br /> ' LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE I i <br /> ' URINAL FIREPLACE INSERT � <br /> � DRINKING FOUNTAIN GAS FIREPLACE � <br /> � FLOOR �RAIN GAS RANGE <br /> � BACKFLOW PREVENTER GAS PIPING <br /> SI�'K(SERVICEIBAR/MOP/ETC.) EXHAUST FAN , <br /> OTHER OTHER <br />� -- _ � <br /> � ��EREBV CERITIFV THAT I HAVE READ AND Et4M111NED THIS APPLICA710N AND KNOW THE SAME TO BE tRUE AND CORRECT ALL . <br /> I'ROVISIONS OF LAWS AND ORIDINACES GOVFRNING THIS TYPE OF WORK WILI BE COMPLIED WITH WHETHER SP'cCIFIED HEREIN OR <br /> '��7T THE GRANTING OF A PERAIIT UOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> ti;ATE OF,LOCA�LnW REGULA?ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 'HAT I AM AVTHORI2ED BV THE , <br /> i!;VNER OF THIS PROPERTY TO PERFORW THE 4YORK FON WHICH APPLICATION IS MADE AND I COMPLV WITH THE STPTE <br /> CONTR4CTOR .18.7 R aP62000VAC <br /> --e�,��l��% /� /f- C%'� � <br /> S�ynet e of OwnenContractouAu�honzed Aycnt Dale <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />