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P�RMIT APPLICATI� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.f7 PERMIT u <br /> L r - �' f�oa.o�-��4 �( <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> TENANTNASNE I CONTACTNAME PHONE <br /> CON{�`C OR.� !�1 ADDRESS ZIP CONTR.LICENSE N <br /> �ic�er« �'le�� /��� �ac. �'720 �'/�m��� ��dere.�- 9S�o3. �C�El�1�(//Dl�� <br /> PHO�¢�S/ 373�Y-`7`(''r <br /> PROPOSED USE OF BUILDING Building Mechanica� I� Addition HEAT SOURCE <br /> /_ PERh71T RI...1 Combination Plumbing WORK #Io�(t Altaration Q Electric <br /> ,/-�q�i��S T'!PE u Demolilion Sign TYPE �j New �j Gas <br /> u Sprinkler U RepaidMaint. L� Other <br /> CONTRACT PRICE OF WORK �OOD.4� CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> WORK DESCRIPTION <br /> .1�s�// � ���r ����ert /'9/�� �io�s �1r,� / ,��jra�� �a,r� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSER7 <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> _ SINK (SERVICE/BAR/MOP/ETC.) Z EXHAUST FAN <br /> OTHER OTHER <br /> I HEFEBY CERITIFY THAT I HAVE READ AND EXAM1tINED THIS APPUCATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COh1PLIED WITH�VHETHER SPECIFIED HEREIN OR <br /> NOT. THF_GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE AUTHORIlY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br /> OWNER�F THIS PROPERTY TO PERF7OgRM THE IVORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> C 9NTR ORS��i�-lGe� 9WAC. �`— <br /> ��/�� <br /> Si na re of OwnedCoNra or/Authorized A ent D Is <br />