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�,��--�- _ -� <br /> PERMIT APPLICAT�ON <br /> I�(�� � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 <br /> ��-� 425-257-8810— FAX 425-257-8857 <br /> ���, J Jr�J <br /> SITE ADDRESS "��J� �G��_ PARCEL TAX I.D.# PE IT p <br /> �.V� C—� . �' �. � C/ �G —� <br /> LEGAL LOT NO. BLOCK TRACT�� � <br /> DESC. <br /> OWNER I �O SS�O�' ��I D� �v�`r4 I PHONE <br /> c ou,,����a��� � 98�� �3� g -s s 9 y <br /> TENANT NAME CONTACT N�ME PHONE <br /> �w,�_\��\Y�_ I ����-os�'dv.�� - o e�� �M 9 -�3 �j �1 <br /> CONTRACTOR�,,�,������y����,ADDRESS CONTR. LICENSE k <br /> 1'l40Mi}C�C-O <br /> PHONE 3(v D '�oS�—g�gJ Si�U Wl-C\��?.�� �\al�.\-- <br /> PROPOSED USE OF BUILDING � Building � Mechanical nddition HEAT SOURCE <br /> �,< <�� PERMIT Combination Plumbing WORK Aiteration tric <br /> `�� (� TYPE Demolilion Sign TYPE New 3as <br /> y4-�\O�- V.� �rl�- Sprinkle� Repaid�.�aiN. Other <br /> CONTRACT PRICE OF WORK D '' CITY OF EVEREff LOCAL SALES TAX COOE IS 3105 <br /> WORK DESCRIPTION ��S�o\-e� � — � 1p4�.l-04�1,� � � - Sy��� O <br /> / �F'��� , <br /> PLUMBING MECHANI�AL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR REM <br /> ��WATER CLOSET A/C-A/HANDLING UNITS <br /> 7�BATHTUB FORCED AIR SYSTEMS <br /> 'CAVA1 ORY (WASH BASIN) _ HEAT PUMP <br /> -SHOWER NITHEATERS �¢-Q�`��' ���'��5�� <br /> KITCHEN SINK& DISPOSAL CLOTHES DRYER <br /> DISHWASHER ANGE HOOD <br /> UNDRY TRAY ATER HEATER <br /> C THES WASHER _ b TAL FIREPLACE/STOVE <br /> URI L _ FI -PLACE INSERT <br /> DRIN G FOUNTAIN _ GA IREPLACE <br /> = FLOOR A� _ GAS NGE <br /> BACKFLO EVENTER _ GAS PI !NG <br /> _ SINK (SERVIC �AR/MOP/[TC.) _ EXHAUST�AN <br /> OTHER \ OTHER <br /> I HEREBY CERITIFY THAT 1 HAVE READ AND[XAMINED THIS APPLICATION AND Y.NOW THE SAME TO BE TR AND CORRECT. ALL <br /> PROVISIONS OF LAWS�ND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE AUTN(1RITY TO VIOLA�E OR CANCEL TH[PROVISION Of ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I APot AUTHOR12ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOfi WHICH APPLIC�TION IS h7ADE AND I COIdPLY WITH THE STA7E <br /> CONTRACTCRS LAW 18.27 RCW AND 29G.200 WAC. <br /> �, � — �3.—3 —O 1 <br /> Signature ot ned ontraclodAulhorized Agent Da�o � I <br /> �°Z <br />