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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERk' CES <br /> ;200 CEDAR Sl REET, EVERETT, LVA 98201 <br /> 425-257-8810 - FAX 425-257-8857 8V/D <br /> SITE ADDRESS PARCEL TAX I.D.# u A PV 06 <br /> Sq a lz,M, P RMIT tt <br /> N c� <br /> _ Ccs o0 o fsrc I ^ G <br /> LEGAL LOTS. BLOCK TRACT alDESC. <br /> OWNER ADDRESS ZIP PHONE <br /> F-1c�0.\Q Et1 �-t�>,'J'L2iSeS . 1r1,C 1-1(�33� -'3�AUySC L'OLsiWx* �`'601'�- -IK3-Ill <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> ( _ o 12± KaS - -143- L-1L % <br /> 4EnS'IlNTRACTOR AO <br /> ZIP CONTR.LICENSE M <br /> adkri_ EXNkL,,gQ.SeS 1-io33k - 5 ill, 5E t"d0 �. P -ReLo3.�Cl <br /> A. <br /> PHONE �. OA, <br /> PROPOLED USE OF BUILDING uildingM <br /> e <br /> c <br /> hanical Additlon HEAT SOURCE <br /> 1� `NMS l PERMIT IfL;�Yy��B'�MhllalioR, Jumhing WORK LR.J Allerauon R ElecVlc <br /> `51 n5 y TYPE Demolition Sign TYPE ( New (! 'Gas <br /> RaS�dlV.w -3 Sprinkler LLLJJJ RepalUMalnt. LLJJ Other <br /> CONTRACT PRICE OF WORK I I a 5/ Liv CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK` DESCRIPTION t�la,p..i� xl"( <br /> N�) C c�-v.��Q.•u4.1.�•.s'� � �.y�,,,.3�-1 <br /> PLUMBING MECHANICAL <br /> MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> -5 WATER CLOSET(TOILET) AIC-AIHANDLING UNITS <br /> 3 BATHTUB FORCED AIR SYSTEMS <br /> 4 LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL —1_ CLOTHES DRYER <br /> I DISHWASHER i RANGE HOOD/ IIUJaea <br /> I LAUNDRY TRAY I WATER HEATER <br /> I CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN 1 GAS RANGE <br /> _ BACKFLOW PREVENTER S GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) 5 EXHAUST FAN <br /> _ O�v]THyE(C•R OTHER <br /> lV�,\ ftlllUl�ll <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUF.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 LAW 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 /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> 31L40,+ _ ctb_ <br /> 51gnalufls of Owner/Contracto�ulhon:nd Agent Date <br /> t DEBIT R CREDIT CARDS ARE NOT ACCEPTED \/ <br /> g�� <br />