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P�RMIT APPLICATI�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42'i-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />3� Co(b v� <br />LEGA LOT NO. BLOCK <br />DESC. (C��% Sr ���� <br />OWNER <br />Cl,�cl L�$c,,�� <br />TENANTNAME <br />CONTRACTOR Sq��� <br />PHONE <br />�ts ejra—�Ij�� <br />PROPOSED USE OF BUILDINCa <br />CONiRACT PRIC[ OF WORK <br />PARCEL TAX I.D. iF <br />Do365 y -176 d►S-o� <br />TRACT <br />f�a�l ey A�1Ci��Dn �o �.�e/�%� <br />Q� I Col� <br />CONTACTFOR <br />G�14"Ll <br />ADDRESS <br />L�sei,U <br />Building Mechanical <br />PERMIT Combination Plumbing <br />TYPE Demolition � Sign <br />Sprinkler <br />WORK DESCRIPTION <br />snsi�hllnf•a�� o� Fr�ee sfxnC�,,,y 95s �tr��lq�e <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCH[N SINK & DISPOSAL <br />DISHWASHER <br />LHUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICElBAR/MOP/ETC.) <br />OTHER <br />PERMIT p <br />/1?�=-��J <br />Y��o� y2S-�8`7-�llS- <br />PHONE <br />�-17h- Ji'%-1 � <br />ZIP CONTR. LICENSElt <br />Adtlition <br />WORK Alteration <br />TYPE New <br />RepaidMaint. <br />HEATSOURCE <br />Eiectnc <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE 151705 <br />NO. � TYPE OF FIXTURE OR ITEM <br />A!G — 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 />I HER[BY CERITIFY THAT I HAVE RF.AD AND EXAMINED THIS APPLICATION AfJD KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISICNS OF LAN'S AND ORIDINACES GOV6RtJING THIS TYPE OF WORK IYILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />IJOT. THE GRAN7ING OF A PERM17IT DOES N07 PRESUAIE TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OP ANY 07HER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I P.M AUTHORIZED BV THE <br />OV�NER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONiRACTO S IA 18.27 RCW AND 296.200 <br />_ <l��° -�` ,�-�� �i�? liv � <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />