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P`RMIT APPLICATIGN <br />CITY OF EVERETT PERMIT SERVICES <br />T 3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />� Ire 8 �j- �� . � . E <br />PARCEL TAX I.D. M <br />PERMIT a <br />_M.r✓ �.0�1 -GD 3 <br />LEGA LOT NO. <br />DESC. <br />BLOCK <br />TRACT <br />OWNER ADDRESS 1 }- ZIP PHC JE <br />/� \>r 1 �--� (Z 7 �'jU - ���' ��'l �.0 L_✓C Qt\\ <br />TENANT NAME <br />1 <br />CONTACT NAME PHONE <br />CONTRACTOR 1 �) ADDRESS ZIP CONTR. LICENSE M <br />PHONE ( � / <br />L w ,�< n- <br />PROPIAOISED USE OF DUILDIIJG1 PERMIT <br />11_TYPE <br />VVVOlhet <br />B Co biilnalion Plum ngal <br />Demolilion Sign <br />R w <br />WORK I palion <br />TYPE L�J New <br />ier/Maim_ <br />I HEAT SOURCE <br />Gas <br />CON T PRICE OF WA <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTIONS-- \C a <br />a11�1�., �1`\\ <br />"N 14S <br />PLUMBING MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />S"OWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SEHVICEiBAR/MOP/ETC.) <br />OTHER_ <br />_ <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHFS DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE!STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGEn\ <br />GAS PIPING _rvrz- ko a c <br />EXHAUST FAN <br />OTHER -- <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY 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 />OWNERANCE OF <br />W TW AE DF RM T W O WORKFORWHICH AP�R THE LICATIQN 15 MADE ANDTI COMPLY WITH THE STATE N THAT I AM D BY THE <br />N OF THIS <br />1 Alo; /l <br />