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c�9 a� <br />SITE ADDRESS <br />LEGA LOT N <br />D'eSC. <br />OWNER <br />�$-�.1 �.� <br />TENANTNAME <br />-���� <br />CONTRACTOR <br />\'� P�Elrs-(�—r <br />PHONE <br />� <br />PERMIT APPLICATIO <br />CITY OF EVERETT PERMIT SERVI �� L� ��%[�(�. <br />3200 CEDAR STREET, EVERETi', WA 98201 C�, <br />425-257-8810 - FAX 425-257-8857 I_i,':�.' ��- f�IO(; <br />PARCEL TAX I.D. �. CITY <br />.Sp`�o'jOOZol10o Engineeri <br />BLOCK I TRACT <br />CONTACT FOR PERMIT <br />L►��--�� �l s� ��� <br />ADDRESS <br />lir�- Q'T'� A� . s. .S�j`�TT �'c j�.�. <br />PROPOSED USE OF BUILDING <br />Building Mechanic�l <br />PERMIT R Combination R Plumbin� <br />TYPE D Demolition ;:, �Sign <br />U Sprinkler <br />CONTRACT PRICE OF WORK �p�-Z9 , �"' <br />WORK DESCRIPTION <br />1NSz� � <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILE7) <br />BATHTUB <br />L�VATORY (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/MOP/ETC.) <br />OTHER <br />,o � <br />(�iPU��IC J(�NICES <br />� v::'ia - o/ <br />7 06 z6 4 z�' �"�1 <br />ZIP CONTR. LICENSE m <br />�'S �2� T�t���`'3i <br />Additian <br />WORK Alte2tion <br />TYPE New <br />RepaidMaint. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />u.l+of�L SlG/J aa� �\-SC- �L�{A--��o� <br />NO. , I TYPE OF FIXTURE OR ITEM <br />A/C—AlHANDLING UNITS <br />FORC[D AIR SYSTEMS <br />HEAT F'UMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HeREdY CERITIFY THAT I HAVE REAO AND EW.PdINED 7HI5 P.PPLICATION AND KNOW THe SAh1E TO BE TRUE AND CORRcCT. ALL <br />PROVISIONS OF IAWS AND ORIDINACcS GUVcRNWG THIS IYPE OF WORK WILL BE COfdPLIcD WITH W4E7HER SPcCIFIED HcREIN OR <br />IJOT. THE GRANTING OF A PERMIT DOES NOT PReSUME TO G�Vc AU7HORITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY OTHER <br />STA7E OR LOCAL IAW REGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERrORPA THE WORK FOR WHICH APPLICATION IS M17ADE AND I COMPLY WITH THc STATE <br />CcINTRACTnRS LA�'18.2�7'fiGW,AND 296200 WAC. <br />����%•03 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�I v <br />