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PEr2MIT APPLICATIOi� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />LEGA� / LOT NO. ro � <br />DESC. <br />OW NER <br />Jr�� /�r� F� <br />TENANTNAME <br />���Y��_ �i.1J/i � <br />TRACT <br />PARCEL TAX I.�. # <br />PERMIT <br />CONTRACTOR ADDRESS � 21P <br />,��//o,(%a� 9� iya.�do«�p/ace,cSu��zo8 <br />PHONE <br />y'�� : ,�u9_,.,-nu� /'1"lc�r.��ra. /,�i� �i1T"�7.5 <br />PROPOSED USE OF BUILOING <br />Building Mechanical <br />PERMIT R Combination � Plumbing <br />TYPE D Demolition Sign <br />U Sprinkler <br />CONTRACT PRICE OF WORK ,�d' A��� <br />v� <br />PERh'lIT # <br />s� ���io5 4 <br />a�a E. G�{oS-077 <br />PHONE <br />CONTR. LICENSE J! <br />/{,QXLN/ oyyo,T] <br />Addition HEATSOURCE <br />Alteralion � Electric <br />New Gas <br />RepaidMainL Other <br />CIN OF EVERETT LOCAL SALES TA% CODE IS 3705 <br />WORK DESCRIP710N <br />.Sn�st�u.�-� �c�d rl�n r/�uMiKu��k/� cS�ns <br />NO. I 1YPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOiLET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES VJASHER <br />_ URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />NO. I TYPE OF FIXTURE OR IiEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUA1P <br />UNIT HEATERS <br />CLOTHFS DRYER <br />RANGE HOOD "� <br />WATER HEATER <br />METAL FIREPLACE�STOVE <br />FIREPLACE INS[RT <br />= GAS FIREPLACE p � �'J <br />— GAS RANGE � <br />GAS PIPING 1���,, / <br />EXHAUSTFAN }M <br />OTHER '��� �� �� <br />- '' �-� � <br />,, <br />-� <br />I HEREBY CERITIFY THAT I HAVE RGAD AND EXAMINED THIS APPLICATICN AND KNOW THE SAME TO BE TRUE AIJD CORRECT. AlL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL 6E COMPLIED IYITH 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 LAW REGULATING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WCRK FOR WHICH APPLICATION IS MADE AND I COMPLY VJITN THE STATE <br />CONTRACTORS LAW 18.27 FCW AND 295.200 WAC. <br />DEBIT & CREDIT CARDS AR.E NOT ACCEPTED <br />-L � �� 77`( <br />�% <br />