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s�. <br /> . � <br /> PERMiT APP�tCATION <br /> CI'TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[ET, EV�RETT, WA 98201 <br /> 425-257-8810-FAX 425-257-7857 <br /> , _ �, � <br /> SRE ADDRESS PARCEL TAX I.D.q FERMIT 8 <br /> �92o�i- �Ce : w sai o�o �Za �oa �' �90/-c�Z9 <br /> LEGAL LOT NO. B! IC TRACT <br /> DESC, <br /> OWNER AUDRESS ZIP PHONE <br /> I �1 V'B S r CO/�ar�f}7 a vr <br /> TENA TNAME CONTACTFORPERMR PHONE <br /> l�;fe A�c/ Cov�a��finh I �war� l�- l4rr,H►� �2r �GG �� - <br /> CONTRACTOR � MDRESS ZIP CONTR.LICENSE C <br /> � �l' � �C�i'�!'yni<-rt.o/ <br /> PHONE <br /> PROPOSED USE OF BIiILDING y��'{Building MeChanlCal ('� Addilion HEAT EOURCE <br /> / ! PERMIT ��--(( Combinalicn Plumbing WORK .��`�(-Alteretion �ny Electric <br /> /,s � 1 I rrre �-( Demolition � Si n TYPE {-( Now {� Gas <br /> � ( R�� � LJ Sprinklef 9 Ll RepalrlMainL V Other <br /> / � I ��a.SfilP'2 <br /> CONTRACT PRICE OF WORK � ��� �0 �J ClTY OF EVERETT LOCAL SALES�iAX CODE IS 3105 <br /> WORK OESCRIPTiON ., <br /> �en�o�ft! 7h� l�es�fih� �/aa�m�u� � C�SG+7GfJfd� CLtGGICS�ti,dl� /—l�.— �lra <br /> � ;�tc�id� Gu.�c n / A�h��f,-,eh 7—� �h•t o /a.t . <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR REM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOuET A/C-AIHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> IAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLUTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HE.4TER <br /> CLOTHES VJASIiER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> �, S�iJK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> 1 HEREBY CERITIf-Y THAT I HAVE REAO AND EXAAIINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF;.AWS ANO 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 AUTHORIN TO VIOIATE OR CANCEL TI1E PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PEftFORM THE WORK FOR WHICH APPLICATION IS MAOE AND i COMPLY WRH THE STATE <br /> CONTRACTORS LAW 18. 7 RCW AND�00 WAC. <br /> / �Y,irf� � C1�1 J�-�'� �/27/�.f <br /> Signatur� nedCAntratt arizedAgenl Date ,^ <br /> �� <br /> � �/DEBIT& CREDIT CARDS ARE NaT ACCEPTED �/ <br />