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SITE ADDRESS <br />121 SE Ev�R <br />LEGA LOT N0. <br />�ERMIT APPLICAT�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />v�M.LL. Ic1.4 <br />BLOCK <br />TRACT <br />PARCEL TAX I.D. N <br />-, <br />S4wa S��v�c�s ZEo s�.� y3� ST: 12EN-roa �Wh 98�5 4ts.zSl• 6��+� <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />sow�► �e✓ic�s I D�wni� �e��e•z�� -z.oa.�cs• �0�14 <br />CONTRACTOR ADDRESS LP CONTR.LICENSEM <br />GI.�TE Cow�E'e[.14�- �Y�d�Nls Z7�1 SW �'�ST �rwl�zrl q�ml E.uTEC�o2ncD <br />PHONE <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />Building <br />Combination <br />Demolition <br />Sprinklor <br />rONTRACTPRICEOFWORK � Lo, 000. p0 <br />WORK DESCRIPTION <br />u.t'Tewoe. Tewwr i�.�Pao���wr. <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARlMOP/ETC.) <br />OTHER <br />n Mechanical <br />J� Plumhing <br />D s�9� <br />� <br />�� <br />�� <br />�� <br />.J <br />Addilion <br />Alteration <br />New <br />Repair/Maint. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. I NPE OF Fl%TURE OR REM <br />A/C - A/HANDLING UNiTS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYEN <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />� I HEREBY CERITIFY THAT I HAVE READ AND E?'AMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />IPROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS 1YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TFIAT I AM AUTHORIZED BY THE <br />OWNE(; OF THIS PROPEfl'iY TO PERFORM THE WURK FOR WHICH APPLICATION IS MAOE AND I CQMPLY WITH THE STATE <br />I CONTRACTORS L4W 18.27 RCW AND 2962 AC. <br />i i� <br />IIILCU NIJNIII v¢�v <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �/Z <br />