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SITE ADDRESS <br />�6o i EiJtY <br />LE3A LOT NO. <br />DESC. <br />R�r�MIT APPLICATIO�J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. � <br />t�eJ wY. I 2�05o�loosooloc7 <br />BLOCK TRACT <br />3-a9-o� <br />C4Y.�D c r'cs�.,:z.�. h� S.�..� s-r . 5<< 3s-� L.t� � c.� �R�1 I_ <br />TENANTNAME I CONTFCTNAME PHONE <br />`j�VU � SNA.v��-� jzy�--�.( ZobZZ3 �IZZ _ <br />CONTRACTOR AD�RESS ZIP CONTR.LICENSE# <br />T�c3��--r 213� �rsc o�-ra�� a��- S. ,—����3uQ5 <br />PHONE �' ui3 I I yZ- ��` l-�-Ic �L� I,7LF' <br />PROPOSED USE OF Bl11LDING Ii Building Mechanical [[[iii Addition HEAT SOURCE <br />PERMIT �� Combination Pl9mbing WOR�Alteration � Electric <br />TYPG DErtt01ifl0n SI � TYPE tJew Gas <br />L� Sprinkler Repair/Maint Oiher <br />CONTRACT PRICE OF WORK y-�� � <br />CITY OF EVEREl7 LOCAL SALES TAX CO�E IS 3105 <br />WORK DESCRIPTION t <br />�NS-�-�� ��. vs,�-�L 5��,,J � T� (Z� <br />��.� c`�i S Tci—SC-1 j' � l� SIC.v—( <br />NO. � TYPE OF FIXTURE OR ITEPn <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOVVER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/8AR/MOP/ETC.) <br />OTHER <br />S �-�'s � � f,TrLS <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNITS I <br />FORCED AIR SYSTEMS <br />HEAT PUPAP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE j <br />FIREPLACE INSERT <br />GAS FIFEPLACE ��J-� <br />GAS RANGE nE,,,iy„� �'( `�"' <br />GAS PIPING f � <br />EXHAUST FAN I <br />OTHER � �6 ,' � I <br />I HEREBY CERITIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SA�dE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COAIPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUIdE TO GIVE AUTHORIlY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE FEFiFOFh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />�� �j•I�'� /]� <br />_I <br />mceu r�yeiu �.o�= <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED /� <br />