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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 <br />I PARCEL TAX I.D. # <br />P�RMR N <br />is/a - <br />05 is 002 00300 <br />03 <br />LEGAL] LOTNO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS Z ON aAL•�X/- `12nJ <br />-A[yFl I � / /u�u.//,4 /A/+B/1d <br />TENANT NAME <br />CONTACT FOR PERMfT PHONE <br />� � l I � r✓'1 lfGh <br />� REG Fox 906 -.396' 4448 <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE# <br />?//✓L- PO i3ov' ���a0 /t�(,�id✓/llf `1�D7� <br />PHONE <br />PROPOSED USE OF BUILDING <br />Building Mechanical <br />AdditionI <br />HEAT SOURCE <br />PERMTT <br />Combination Plumbing <br />� <br />WORK <br />Altaatbn <br />[[�� Etear-c <br />TYPE <br />DemalPlon Sign <br />� <br />TYPE <br />New <br />QQ Gas <br />Sprinkler <br />ReIeIrlMairc. <br />LUUJ other <br />CONTRACT PRICE OF WORK <br />CITY OFEVERETT LOCAL SALES TAX CODE ISatos <br />WORK DESCRIPTION <br />1'llfu_) 0wcFt. HIDOM//IEt- 1+lcurr(! FIoO'i 1_RRIN� <br />PLUMBING <br />MECHANICAL <br />No. TYPE OFFIXTUREORITEM <br />NO. TYPE OFFDIIUREORITEM <br />i <br />WATER CLOSET <br />A/C - AIHANDLING UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />i <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />4 <br />SHOWER <br />UNIT HEATERS <br />� <br />KITCHEN SINK6DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE H000 <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />METAL FIREPLACEISTOVE <br />_ <br />URINAL <br />FIREPLACE INSERT <br />L <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />� <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />OAS PIPING <br />_ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_ <br />EXHAUST FAN <br />_ <br />OTHER <br />OTHER <br />I HEREBY CERITIFY THAT 1 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 WORKWILL BE COMPLIED WITH IMiETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO NOTATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAWREGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTFbRIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CON TORS LAW 13.27 RCW AND 293200 WAC. <br />T�� 3-02�3 <br />3 gnat re o IC OIIBetor/Author� Zr�AQent Date <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />