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F'L-:RMIT APPLICATIVN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 SL-ph 62-aO7 <br />425-257.8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />PARCEL TAX I.D. 0 <br />22 0 022 6 Zo I <br />PERMIT w <br />2 <br />LEGA LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS ZIP PHONE <br />TENANT NAME CT NAME PHONE <br />4�5 �-�K+ A- I, 3c o 151 • 5(oc6o <br />IP . <br />_ <br />CO TRACTOR ADDRESS ZIP CONTR. LICENSE / <br />f %r-A?' 'SuS) �Nc. R.o. Vq 53,1 p�r1tivj�Oh <br />PHONE r$Go • 1 L'J Uq-' G27 -No • ` Mom. <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />Di Building D Mechonical <br />Combination U Plumbing <br />U Sign <br />AddiCon <br />WORK j Alteration <br />TYPE New <br />HEAT SOURCE <br />Gas <br />Q Electric <br />,1 <br />Y•IR r� �1n ^ <br />Sprinkler <br />Sprinkler <br />Repair/Meinl. <br />Other <br />CONTRACT PRICE OF WO 11 Igo <br />F EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />W 1 VAe*JLIT-� �Drz yn`{ eF AIP�raF V 'i)F 1VD <br />11l o0o TIJ lu�) <br />LUMBINU MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />'L <br />A/c- AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />,� <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />ITCHEN SINK & DISPOSAL <br />_ <br />LOTHES DRYER <br />GEHOOD <br />HWASHER <br />LA DRY TRAY <br />� <br />WA HEAT <br />_ <br />_ <br />CLO S WASHER <br />_ <br />METAL LACE/STOVE <br />FIREPLA SERT <br />_L <br />URINAL <br />DRINKING OUNTAI <br />_ <br />__ <br />GAS FI PLA <br />_ <br />_ <br />FLOOR ORA <br />GAS NGE <br />GA PIPING <br />BACKFLOW P ENTER <br />SINK (SERVI MOP/ETC.) <br />AUST FAN <br />THER '1S <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE RL40 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. 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 />WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />OF THIS PR ERN PERFORM THE <br />JONER <br />TRACTOR 8.27'qCt# AND 296.200 A�� <br />Sig tore of wner/Contractor tho zed Agent le 1' <br />Z <br />