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SITE ADDRESS <br />0 <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />TENANT NAME <br />CONTRACTOR �,5� <br />1 ph <br />PHONE n_I.��D^� <br />fXJ ..� <br />PROPOSED USE OF BUILDING <br />� <br />PERMi�' APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK � I TRACT <br />CONTRACT PWCE OF WORK $ 1. 5 <br />PARCEL TAX I.D. # <br />ICONTACTFORPERMIT <br />�?„n,l . � T...i� �n <br />�s.}.. ADDRESSA4y�I W SZGO S . <br />`1 % <br />WtsF JaYd�an, wT� <br />Building Mechanical <br />PERMI7 � Combinalion R Plumbing Wo <br />TYPE Demolition p Sign 7Yi <br />Sprinkler <br />s <br />PHONE <br />U/A-4L'7'�tV7/ _ <br />ZIP CONTR LICENSE i <br />84o8B CCal9us}tcFlooSc.K. <br />�AddWon I HEATSOURCE <br />Alteration D EledAc <br />New D Gas <br />RepaldMaint. L� Other <br />CITY OF EVERETT LOCAL SALES TAX COUE IS 0706 <br />WORK DESCRIPTION <br />�errn.o. �N s�nq �-m -�a.+� r,au�, /car.a<.e. u.e.�rq, r�nw u)a.�t.z � -�i�rw+ sa.u� �z�r.�• <br />Ne��J i-c�nanf {i�..'�t�-ry.2na �- n2va cctc.i,,�9 �c�r-+s. <br />PI IIMii11JG ' ueruwwnw� <br />NO. I TYpE OF FIXTURE OR I7EM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUPITAIM <br />FLOOR DRA�N <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOF/ETC.) <br />N0. I TYPE OF FIXTVRE OR ITEM "� <br />A/G —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <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 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />f'ROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAMING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVI310N OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />0 R OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />C NT�RS LAW 18.27 RCW AND 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />