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PERMIT APPLICATION <br />CITY t�F EVERCTT PERMIT SERVt�CES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 U — FAX 425-257-8857 <br />SI?EADDRESS J1r0� <br />SC. X C S i <br />LEGAL LOT N0.3 BLOCK <br />DESC. <br />OWNER <br />�.AK�l.f�n�Q FI�rn�S �rG <br />TENANT NAME <br />CONTRACTOR <br />PHONE S �'�� <br />PROPOSED USE OF BUILDING <br />PERMIT <br />�F� TYPE <br />CONTRACT PRICE OF WORK <br />IpARCEL TAX I.D. N <br />��I'1 -Wo -vo4- vzos <br />TRACT <br />S� �a�� ov-oi7 <br />ADDRESS <br />t�.v , 3c�x 3�S �"—+��' <br />CONTACTNAME <br />S'rt� <br />ADDRESS <br />►�M� i3 <br />L�-� � � � ` <br />PERMIT M <br />����- dD� <br />yzS-35C.- )7�i <br />PHONE <br />yz5 -3'S[.• ��c.� <br />CONTR. UCENSE A <br />�,,�.�cL L I�I Uo I SL <br />Building j7 Mschanical �ddltbn HEAT SOURCE <br />ombination [� Plumbing WORK Alteretion D Eieatrk <br />Demolition L� Sign TYPE ew L�'Gas <br />Sprinkler RepeldMalnt. U Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTIOW <br />Cor►S �R���,�nG or ���w tZzB SFK. <br />NO. � TYPE OF FlXTURE OR RElA <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WA£H BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUI�DRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAW " <br />FLOOR DRAIN ' <br />�,�S�c � zd�3 <br />_ BACf:FLOW P(iEVENTER � <br />_ SINK(SERVICE/DAR/MOP/ETC.) ���()G' � <br />nTHER � <br />'— -��F Y / <br />NO. I TYFE OF Fl?RURE OR ITEM <br />_ A/C-A/HANDLINGUNITS <br />� FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES DRYEF <br />I RANGEHOOD <br />,L WATER HEATER <br />' METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />I GAS FIREPLACE <br />GAS RANGE <br />i GAS PIPING <br />� EXHAUST FAN <br />_ OTHER <br />I HEREDY CERITIFY THPT I HAVE READ AND F.XAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GO��RNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIE� HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOcS NOT PRGSUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATINCa CONSTHUGTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CON7RACTORS LAW 18.27 RCW IrND 296.20{j WAC. <br />� 2� � <br />8iB �/� <br />