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SITE ADDRESS <br />�7?Z� OAl�S <br />LEGA LOT NO. <br />DESC. <br />PEi�MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-2s7-8857 <br />PARCEL TAX I.D. # <br />29 0 <br />BLOCK TRACT <br />�V'r-a //' <br />._. .i._. 11 � f ���� �i �i ' _ <br />; ; ;�, <br />. ��', �;,. <br />7-a1-�`�_ <br />PERMIT X � <br />n �n,��-, _ a, J <br />Ev�2F-(T kr�o� D�ST 473� c�xa`( ,A� �-��T ,v-if� �iazo i <br />TENANT NAME LONTACT FOR PERMIT PHONE <br />SNqtnN (�y,� Z6223112Z <br />C'v� AQ�S.�X <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />"�' 6�/v'LT 17� S 4T++ .A v� . S. � � 3�.�D �31 I Q S <br />PHONE C <br />�/!;( 97?7 I I%� s��'� �(/`�f�c 1� ��� <br />PROPOSED USE OF BUILDING <br />Building Mechanical <br />PERMIT �ombination Plumbing <br />TYPE Demalition Sign <br />Sprinkler �1 �P(� (b�� <br />CONTRACT PRICE OF WORK �W � <br />WORK DESCRIPTION <br />��js'C4iL Ol—'C ��}�.� �1< <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTIJB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASNER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PR[VENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />Addition HEAT SOURCE <br />WORK R_Alteration � Electnc <br />TYPE �`�f�cj- New Gas <br />�V RepaidMaint. Other <br />CITY OF EVERETT LOCAL SALES TA% COOE IS 3705 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIP�NG <br />EXHAUSTFAN <br />I HEREBY CERITIFY THAT I HAVE REAU AND EXAtdINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PRCPERTY TO PERFORM TNt VJORK FOR WHICH APPLICATION IS MADE AND I COi.IPLY WITH THE STATE <br />CONTRACTOR�!�78. CI � AND 296.200 WAC. �� <br />����� . �` �' I O' � <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Y <br />j <br />