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t <br />PERMIT APPLICATION <br />CITY OF E��ERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />��0 3 L�t�Zlo�c�v <br />DESC. <br />Su� �-cos5c-� <br />PARCEL TAX I.D. # <br />6LOCK TRACT <br />/�O FSp X 2 �S8 <br />PERMIT # <br />xo3 oy _ Q� d <br />ZIP PHONE <br />�&-za'3 <br />TENANT NAME CONTACT FOR PERMIT <br />5v,�.i2�5C �?A�..-�,.-G cr�c <br />CONTRACTOR ADDRESS <br />203iN5�.✓ /��u.�.B� � i•.c. a933o /��fni .Q.�� <br />PHONE ~"�` <br />l36�� �`03 �s��z <br />PROPOSED USE OF BUILDING <br />'�la24�%vi.� L G !�� 2.'� <br />Building Mechanical <br />PERMIT B Combinalion lumbing <br />TYPE B Oemolitlon Sfgn <br />Sprinkler <br />CONTRACT PRICE OF WORK .� �3 9 v <br />WORK OESCRIPTION <br />NO. <br />Y�t �M/��.�-6 <br />u.o2.� �... <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (f01LET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />OISHWASHER <br />LAUNDRY TR.4Y <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />F/�..os.- P,ec� rl/� <br />ZIP <br />PHONE <br />CONTR. LICENSE # <br />2t�3 i.�-P� 2 �7�. <br />n Additlon <br />�-� AlteraUon <br />HrNew <br />LJ Repair/Mainl. <br />HEAT SOl1RCE <br />�Electric <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />o�F�cr f3cOc. <br />NO.. I TYPE OF FIXTURE OR ITEM <br />AJC - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAI FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS R4NGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATIO(J AND KNOIV THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMFLIED WITH INHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CO'JSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PkOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS � iADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 19.27 RCW Ay[Z 296200 WAC. <br />��� <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />