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�061 n <br />SITE ADDRESS <br />LOT NO. <br />DESC. <br />�PERMIT APPLICA�ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />. n. . iA d�Z <br />ELOCK <br />PARCEL TAX I.D. N <br />Z9 osi7 oo�z i�soo <br />TRACT <br />PERMIT # OI Y <br />l��oVi�c.ncL �LV��� �c.,Q�c.�l C. f32� Cul�� /`�w �L'-�� <br />TENANT NAME � CONTACT FOR PERMIT PHONE <br />Pfo�l i�tntL ���h �i� �qr� <br />CONTRACTOR �Gv/� ,1/[o,V C O <br />PMONE yTs-_ 7�`- Q� S S <br />J^-/CvL / LO�I��� <br />ADDRE9S <br />y o. i3.x sz L 5 <br />�/rs- 776-8$3s' <br />,o, wi- 9PovG <br />� <br />IIP CONTR. LICENSE N <br />/3e -�y,v � e 7 7 c n.. <br />PROPOSED USE OF BUILDINO ildinQ �echanical Addilion HEAT SOURCE <br />PERMIT Combinatlon Plumbing WORK Alteration n Electric <br />G��,V��L TYPE Demolitlon gn TYPE ew D Gas <br />Sprink�er RepalrlMalnt. U Other <br />CONTRACTPRICEOFWORK ,f Z� yqd. � <br />CITY OF EVERETT LOCAL SALES TNf CODE IS J705 <br />WORK DESCRIPTION ��,� 5�,� LC �/ ) S i�N �'�" 5'�ve � <br />NO. I TYPE OF FU(TURE OR ITEM <br />WATER CLOSET (TOILET) <br />6. THTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITr,HEN SINK 8 DISPOSAL <br />DISIiWASHER <br />LAUNDRYTRAY <br />CLOTNES WASHER <br />URINAL <br />LlRIN1:ING FOUNTAIN <br />FLOGR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/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 !=AN <br />OTHER <br />I HEREBV CERITIFV THAT I HAVE READ AND EXAMINED ?HIS APPLICh ^ON AND HNOV/ THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE ::OMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVF AUTHORITV TO VIOIATE OR CANCEI THE PROVISION OF AN�{ pTHER <br />STAT'c OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TFiAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPER7V TO PERFORA9 THE WORK�1]Q 1�lICH APPLICAiION IS MADE ANO I COMP�V WITH THE STATE <br />CONTRACTORS LAW 1Bxi ftCW FjD�'IJ� <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />