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I <br /> PE. IMIT APPLICATIO. . <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425.257.8810— FAX 425-257-8857 ' _ 10 <br /> SITE ADDRESS r PARCEL TAX I.D.M P IT 0 <br /> LEGA LOT NO. BLOCK CT <br /> OESC. "�¢/f Z4. / yl Ar PO Pee <br /> OWNER ADDRESS LP PHONE <br /> �1�✓H�!/C f C�� rsT-�f/l �Q )XqblLv9 �> P�X1(, YdS 3�1�/s <br /> TENANT NAME CONTACT NAME PHONE <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE M <br /> �fl�4ti�y GcJYST.:�</C . <br /> PHONE <br /> g26 eq?,P� <br /> PROPOSED USE OF BUILDING Building McChanical Addition HEAT SOURCE <br /> PERMIT Combination R Plumbing (WORK Altration Electric <br /> TYPE Demolition U Sign TYPE �'ew Gas <br /> � x Sprinkler I r irrMaint Other <br /> CONTRACT PRICE OF WORK X561 Un CD S 3 CITY OF EVERFTT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF F•XTURE OR ITEM <br /> _ WATER CLOSET A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) HEAT PUMP <br /> SHO"ER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATFR HEATER <br /> CLOTHES WASHER __ METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN ^ GAS RANGE <br /> _ BACKFLOW P:icVENTER AS PIPING <br /> _ SINK(SERVICE,BAFVMOP/ETC.) EXHAUST FAN <br /> OTHER OTHER- <br /> -I HEREBY CERITIF7 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 /> Y�cCAL LAW REGULATING CONSTR TION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> I IS PROPERTY TOP ORM E ORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI 4 THE STATE <br /> SLAW tg 27 - AND 25 0WAC. <br /> Sig❑al re el Owner o re nzed gent Dale <br />