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N <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. R � PERMIT M <br />"'dsf-sE EdN 1�Ciao, 7-oal <br />ZS12 - & 2 yg263 <br />I.EGA LOT NO. BLOCK TRACT <br />DESC. 7-6 <br />OWNER ADDRESS ZIP PHONE yZsy 6cs <br />7-REKAr.1'r Py gax �Zy/huk.'lkoSe0-S <br />.DEIIE1OPr1Ei✓%- <br />TENANT NAME <br />,✓//, <br />CONTACT IIAME PHONE <br />/fie///' GarrJ� yZf 4r��6css <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE A <br />Pb 8oX � z s <br />PHONE OS a' IYI Gf k r /�eQ 1a/r4 <br />PROPOSED USE OF BUILDING <br />fi Building Mach" lcel <br />R( Addition <br />Allerallon <br />HEAT SOURCE <br />I] Electric <br />PERMIT <br />Combination hR.( Plumbing <br />WORK <br />� <br />r <br />C M 0 <br />TYPE <br />IlkU�ft' <br />Demolition LJ Sign <br />Sprinkler <br />TYPE <br />�j New <br />LJ Repair/Mainz. <br />B Gas <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3103 <br />WORK DESCRIPTION <br />PLUMBING MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM NO, TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />AIC — A/HANDLING UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 DISPOSAL <br />CLOTHES DRYER <br />_ <br />DISHWASHER <br />RANGE HOOD <br />_ <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />_ <br />CLOTHES WASHER <br />FIREPLACE INSERT <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />6A3 FIREPLACE <br />_ <br />FLOOR DRAIN <br />GASRANGE <br />^_ <br />BACKfLOW PREVENTER <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />_ <br />OTHER_ <br />OTHER - <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING <br />NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />NOT. THE GRANTING OF A PERMIT DOES <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER THIS PROPE TO PERFOR E WOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE 51"ATE <br />PF <br />CONT ORS LAW 1 7 RCW AND 0 WAC <br />Signature 0 wner.'Contrectar/Authorized gen ale <br />(cRMIT APPLICATfi <br />