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PERMlT APe�LICATION <br />CITY OF EVERETT PERMlT !:�ERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDkESFi <br />�iPo/ �VP <br />�ecnT`or No, <br />DESC.( <br />�ef P�1lyf (.Gt'�f✓S <br />TENANTNAME <br />j Pe2 C.� � p 5 <br />CONTRACTOR ` <br />yATE72�.1 R7�oNlfz. ,�,y„ <br />PHONE <br />c/GS— ZG S—/$!o'7 <br />PROPOSED USE OF B��ILDING <br />�BLOCK <br />PARCEL':�X I.D. # <br />z Ro 5��-70030o i ou <br />TRACT <br />PERMIT q <br />so�oy-o <br />ZIP PHONE <br />/lno� ��Y �w st ��as, ?xl(nv�.c.o r..7A �'L�oy yzs-�o9-79Uo <br />ICONTACT FOR PERMIT PHOINE <br />'-f 2S-ZCnS-(S(P% ��G� �b�1�Q_ <br />ADDRE55 <br />C'o..lpany �ul�ti /-l�.,y 99�2 <br />Building Mechanical <br />PERMIT � Combination �Plumbing <br />7vPE Demolition Sign <br />Sprinklcr <br />CON7RACT PRICE OF WORK � ZOD <br />WORK DESCRICPTION ' <br />1 A-�`S��G/FTE S 1vl5lY4zL �j/��t��f <br />NO. I TYPE OF FI%TURE OR ITEM <br />WATER CLUSET <br />BATHTUB <br />LAVATORY (WA�H BASIN) <br />SHOWER <br />KITCHEN SINk 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASH[R <br />URINAL <br />DRIIJKIN�� fUUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHcR <br />P CON7R. LICENSE # <br />Evev �,.� q�2.oy <br />4tldilion <br />Alleralion <br />ew <br />RepaidMainl. <br />'_SG�/7•/L?'� <br />HEATSOURCE <br />Electnc <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TA% COOE IS 3105 <br />NO. � TYPE OF FIXTURE OR ITEM <br />AI(; — q/HANOLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />W�TER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLoCE INSERT <br />GAS FIREPLA.CE <br />GAS RANG!_ <br />GAS PIPINI� <br />EXHAUST FAN <br />OTHER <br />I HEREUY CLRITIFY THAT � HAVF READ AND EXAMINED THIS APPLICATION AND HNOW 7HE �AME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS �ND ORIDINACES GOVERNIN� THIS TYPE OF WORK WILL''� COAIPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GR�^iTING ��F A PERMIT DOEg :JOT PRE3UME TO i;IVE AUTHORITY 1 O VIOLATE GR CANCEL THE PROVISION OF rtNY OTHER <br />$TATE UR LOCA LAW REGULA7WG CONS7RUC710N OR THE PERFORAIAVCE OF COIJS7RUCilON. THA71 AM AUTHORIZED 8Y THE <br />OWNER OFTHiS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATIOV IS MADE AN� I COAIPLY WITH THE STATE <br />CONTRACTOj;S LAW 18.27 P.CW AND 296.2D0. WAC. <br />��I <br />DEBIT 8, CREDIT CARDS ARE NOT ACCEPTED �` <br />