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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425.257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT N <br /> -' 12 Go I1, J!- >>.t ' X93 -00I -ou - 00 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. — r LvkC/ ..5l LArcl CcvIAP�A '5 Fr,T PLAT mel - 601rcl cr <br /> OWNER ADDRESS I PHONE <br /> u57 - 1Z- 4e— 'Alifuc o1c j or Euetc 1F 96x3 q25 _3ag -3/ 7 `i <br /> TENANT NAME + CONTACT NAME PHONE <br /> MA f 11-25- 3c8 3175 <br /> CONTRACTOR SuST R• 4C co�sf vctlr ADDRESS CONTR. LICENSE N <br /> PHONE 17 7 <br /> ?c, -&,x Ju`13 I X - Rc. ko 77t3G <br /> PROPOSED USE OF BUILDING Building Machalllcal Addition HEAT SOURCE <br /> PERMIT R Combination R Plumbing WORK AOeration I7 Electric <br /> TYPE L®) Demolition D Sign TYPE New B Gas <br /> Sprinkler PRO—pairRdaint. Otter <br /> CONTRACT PRICE OF WORK CITY OF EVERE17 LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION 1(j ��e�..ct. �� T(.e P, • S+�^5 kr'-�� <br /> PLUMBING MECHANIG�L <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET A/C—A/HANDLINGUNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER_ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAV/REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON�TRRAACTORJ�LAW 18.27 RCW AND 290.200 WAC. <br /> a�(r�5'�iY <br /> Slgnalura o caner/Contractor/ ulhonzed Agent ate <br />