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� r <br />PtRMIT APPLIC/�TION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 G - FAX 425-257-8857 <br />SITE ADDRESS <br />�So p <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />G E �,� <br />TENANTNAME <br />CONTRACTOR <br />Cd-S �a� <br />PHONE �� �L_ �3 �A <br />PARCEL TAX I.O. # <br />TRACT <br />ADDRESS <br />� d. g4�,! �"��7 � <br />CONTACT FOR PERMIT <br />Y IW� ccpai'7" <br />ADDRES <br />,d, o�( Z �J <br />Sn� ,wh� <br />ZIP <br />v�z�i <br />P RMIT # <br />d3a°t-c�3 <br />PHONE <br />� -330 -p/S S <br />CONTR. LICENSE # <br />4JrS�98�1�Z. <br />PROPOSED USE OF BUILDING Building fi Mechanical Addition HEAT SOURCE <br />��` � PERMIi � Combination �_� Plumbing N/ORK R Alleratlon � ElecUic <br />7YPE Demolition Ll Sign 7YPE D New Gas <br />Sprinkler U Repair/Malnt . Other <br />CONTRACT PRICE OF WORK '� ��i CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />WORK D SCRIPTION • <br />�.F� � � �Vl��. tl.V�'�"J I�I��C%�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHIVASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />GLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <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 />FIREPLACE INSERT <br />GAS FiREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FI N <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE RE1D AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PRGVISIONS OF LAWS AND ORIDINACGS GOVERNING THIS.TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAtJTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOC L LAW REGULATI!1G CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEjt F T PRC� ERTY�TC` PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />C0�F��TO (e���AND 296.200 WAC. <br />A i,l �n;z �-��—�3 <br />DE81T 8 CREDIT CARDS ARE NOT ACCEPTtD <br />