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�_ � ; _�- � <br /> I <br /> PERMIT APPLICATION j <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 i <br /> SITE ADDFESS PARCEL TAX I.D.7t PERId1T M I <br /> �" - C-,`�� <br /> � i�'C�i%�C /� ': 7`� �L/=. �' � . <br /> IEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNEfl AODRE55 ZIP PHONE i <br /> I tiL,'(:� '�lL- 1�1L�l-i`. r��! �uSF'�TT o,.�u/ I <br /> TENANTNAME CONTACTNAME PHONE <br /> ,�--ti�L �',�Nc��I CcrJsr,i+vT' �(eC �3N-3�Cc� <br /> CONTFACTOR ADORESS ZIP CONTR.LICENSE M <br /> ,�;aM���', ,? �:,,/r,r_���ror, � a�,+,+�a��Uv�K� � <br /> PHONE / <br /> �� �3�/ � JJ '''�� �^r+L'r '/'T 1�" Ii!�/N �Jl�r3'il\ �'/�.� -i� <br /> PROPOSED USG OF BUILDING Buildift9 Mechanical Atltltlion � HEAT SOURLE <br /> I PERMIT R{{ Combinalion Plumbing WORK Altera�ion (H''1 Elecnm <br /> ti�t�������— ��'��ti� ' TYPe �{ Demoli�ion � Sign TVPe �New I u Gas <br /> . _�zi� _ ���� LJ Sprinkler U Repair/tdamt. U Other <br /> CONTFACT PRICE OF WORK -�4 CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br /> NY�dL� e7z C'f� (` - <br /> WORK DESCRIPTION <br /> \ � <br /> a <br /> � � ������L�>> �. �4��1 �_�� � �� � <br /> . ! � <br /> — PLUMBING /� :� MECHANICAL <br /> NO. TYPE OF F11(TURE OR ITEh7 _ -�,°GN��� TVPE OF Fl%TURE OR ITEM <br /> `G <br /> WATERCLOSET �, _ A/C-A/HANDLINGUNITS <br /> 6ATHTUB 4� ,4C_ � _ FORCED AIR SYSTEMS <br /> = LAVATORY(WASH BASIN) � f� . _ HEAT PUMP <br /> SHOWEF �� _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL �j�� � _ CLOTHES DRYER <br /> DISHWASHER J�� _ RANGE HOOD <br /> _ LAUNDRY TRAY �,�fi f� _ WATER HEATER <br /> _ CLOTHES INASHER �� �-�� _ METAI FIREP�CE/STOVE <br /> / FIREPLAGE INSERT <br /> DRINKING FOUNTAIN 1 IF/ _ GAS FIREPLACE <br /> FLOOR DRAIN � _ GAS RANGE <br /> BACKFLOW PREVENTEA _ GAS PIPING <br /> _ SINK(SERVICE'BAR/MOP!ETC.) / \ _ EXHAUST FAN <br /> OTHER ./^ r ����Cr'/ _ OTHER <br /> J 5::, �.n:C / � 1 � — <br /> C. ��ICT�,,..1., � -��T_i `J C' � r�.' _ F//CL�r�s1JKf_- /.'i�r+1/.�fKs <br /> � � — <br /> r;� n�-,� �_.-�_,-r� � <br /> - /i <br /> I HEREBY CERITIP'('HAT i HAVE READ AND EXAMIhED THIS APPLICATIOY AN�KNOW THE SAtdE TO BE TRUE AN�CORRECT. ALL <br /> PROVISIONS OF V+WS AND ORIDINACES GOVEFNING THIS TVPE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GPANTING OP A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PPOVISiON OF ANV OTHEF <br /> STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PEPFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8V THE <br /> OWNER OF THIS PROPERTV TO PERFOPM THE WORK FOR WNICH APPLiCATION�S MPDE AN01 COMPLY WITH THE STATE <br /> GONTRACT¢AS L4W 18.ZZ RCW AND 296200 WAC. <br /> / <br /> ..� / y , . > <br /> - �, L �: _ /- 7- t., <br /> S�gnamre ol wnevContractor/Authonzed�gent Date <br /> � i <br /> � '/i.��1�r2 �,�� .� '1-��vv�"` <br />