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P&MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />7711 Ln me <br />SITE ADDRESS <br />PARCEL TAX I.D. # <br />PERMIT.; <br />LEGA LOT NO <br />DESC. L/ <br />BLOCK <br />2 <br />TRACT <br />OWNER ADDRESS I ZIP PHONE �S <br />A/ JA � CQ.US— "40, /�3k 976 �Uf.2f7 W d. 9k206 35�. <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br />PHONE <br />PROPOSED USE OF BUILDING <br />Lr �� <br />S_.iC� �•� r <br />Building n Mec' an'Cal <br />PERMIT Combination B Plumbing <br />TYPE Demolition Sign <br />LLLJJJ Sprinkler <br />Addition <br />WORK Alteration <br />TYPE New <br />Repair/Maint. <br />I HEAT SOURCE <br />�i Electric <br />`„$ Gas <br />Other <br />CONTRACT PRICE OF WORK /�/i�7� — <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION ! r!%Gf <br />,ifs Gay c� 2 z 75 <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <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'BAR/MCRETC.) <br />OTHER <br />_L <br />Z <br />/ <br />7- <br />Z <br />v <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />I <br />HEREBY CERITIP+-HAT I HAVE READ AND EXAMINED THIS APOLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF :,;WS AND ORIOINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL TAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS :AW 18.27 ROW AND 29} ,200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />12 <br />