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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS g�/EQETZ, W A. PARCEL TAX I.D.# 6RMI7 tt <br /> l070� Evc`�GQr�N w�ti• 9 oy 0 oo:t,o3�;00 � � Z�ZD <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> i�O5CQ1�� X C.I,A�lE1J� �LGNa-CARO �'1�2D 7a.Nn W. k�Muw�OSy 1rJ1��1�0'�6 _. <br /> TENANT NAME I CONTACT FOR PERMIT PHQ N •" CPII <br /> :ZUG Co50' S�Q > <br /> A'�ZA rnll-cSTC�.1 NENP.y Pi`�AM 4.ZS - 77�' Oq`�.b E1CC. .�.�'I <br /> CONTRACTOR ADDRESS p �,gox so�3 ZIP CONTR.LICENSEM <br /> WESCo ConISTRvCt7paU1.V1�cN @DCI�U C <br /> PHONE L�/NrJ1+'onD, 1,JA. 9aQy` ��L�S � <br /> 415 - �71- oQ],(c EXZ• �3'7 <br /> PROPOSED USE OF BUILDING f"��Building MeChanical Additlon HEAT SOURCE <br /> �JU C1-� r�n:Crl� PERMIT ,KI-�( Combination R{--( Plumbing WORK Alteratlon R Elecvic <br /> , ,� •„ TYPE '�,j �emolition V Sign TYPE New �j Gas i <br /> ��Cj /p��l /<��r7� ��- u Sprinklef Repair/Maint U Other I <br /> CONTRACT PRICE OF WORK 3 ��(JU `=� CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> WORK DESCRIPTION <br /> /�� /�no� / ti GY/-`-� ..5-OG�`, ��-o� - � �.ri.<� Gv/�� .�C� <br /> r-" P /,�<� ,n.�c � <br /> PLUM8ING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-AIHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> � _ D�SHWASHER _ RANGE HOOD <br /> I = LAUNDRY TRAY = WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> I _ URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACY.FLOW PREVENTER � GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN • <br /> OTHER _ OTHER 1✓LIG }!� Id✓1 <br /> -- �l a„� ��,�v rt-J <br /> ' I HEREBY CERITIFY THAT I HAVF READ AND EXAMINED THIS APPLICATION A1JD KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING TNIS TYPE OF WORK N'ILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> INOT. THE RANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITI'TO VIOLATE OR CANCEL TME PROVISION OP ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> ' OWNER THIS PR �RM THE WORK FOR WHICH APPIICATIGN IS MADE AND I COMPLY WITH THE STATE <br /> � CONTR . O W 18.27 CW 96.200 WAC. <br /> , �-� y-��-o� <br /> I Sig re f ner Contr�nthoTlZ� gen Date � <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />