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SITE ADDRESS <br />LOT NO. <br />DESC. <br />( <br />PERIiIIIIT APPLICp►TiON <br />CITY OF EVERETT PEi2MIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TAX I.D. # <br />PERMIT # <br />1:(��I.? <br />�-�.L il�l.���i W1tNTL JNI. `'•d. 170 )t Z�� �D �C7zi7��j <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />Cd.��S��h, �� ��� t=2�a �. LJ�,zvi,�.. 3Lo� 3i�(� �iSvo <br />CONTRACTOR �N � � � � �'� �n ADORESS n0 1�� � Z-' � � � ��� � CONTR. LICENSE # <br />PHONE <br />31��- 3l� G.- �, � C'� <br />PROPOSED USE OF BUILDING BUilding � MeChanical ACdilion HEAT SOURCE <br />' PEFMIT R Combinalion Pl9mbing WORK � Alteration li Eledric <br />�'1�•ti��U u.,-L-�-- 7ypE D Demoli�ion Si n TYPE New � Gas <br />U Sprinkle� RepaidMainL Other <br />CON7RACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DI=SCRIPTION „ <br />/� � ' �,� �.,. �.t��. / / ct1.� 1-l—, <br />�G�Gf(+IJ- /�J /I+JG� N�S.�J �21IN -L /)�LL1 �p <br />NO. I TYPE OF FIXTURE OR ITEM <br />J_ WP.TER CLOSET <br />BATHTUB <br />J_ LA'✓ATORY (WASH BASIN) <br />SHOWER <br />� KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAl1NDRY TRAY <br />CLOTHES WASHER <br />UFLVAL <br />DRINKING FOUNTAIN <br />�FLDOR DRAIN <br />BP.CKFLOW PREVENTER <br />SI I�h: (SER� �ICE/8AR/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 />RANGE HOOD <br />WATER HEATER I ��'u-�-�� <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME T4 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH Wh;ETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL'f(1E PROVISION OF ANY OTHER <br />STATE 0�1CAL LAW REGULATING CONS'fRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br />OWNER O TIiIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATIO'J I5 MADE AND I COMPLY VNTH THE STATE <br />CONTRA T R� W 1627 RCW AND 296.200 WAC�— �' L�� <br />/ <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTE.D <br />