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; ERMIT APPLICAT� �N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />i'Y103G�1-o3�- j <br />Si7E AD�RESS SF�t�,Ga /0 �i PARCEL TAX I.D. # PERMIT�� <br />I y a Z S� C�v 6R �'ir'nna�� waY � <br />LOT NO. � BLOCK � TRACT <br />MRO�sar! nn�t�a�e�rra I4oz«�e�Qrrnv�uwA�f 9f�z9� yz5-y�t3•75z� - <br />TENANT NAh1E I CONTACT NAME Pt10NE <br />$� f121D68 �61hlSt.L�1Z-- � %iNDY f- �SN�e'R `%LS-Y43-7SZ� <br />CONTRACTOR ADORESS ZIP CONTR. LICENSE N <br />M�r"i2lTM�CFMn1tGr9L.� 1�l C 41030 l53.c�At%�No�' �j,6pp+'�vp W►1� 943+�52 <br />PHONE <br />�l25 - f383- gZz�I <br />PROPOSED USE OF 9UILDING <br />Building echani�al <br />PERMIT R Combination �lum6ing <br />TYPE Demol:tion U Sign <br />Spr��kler <br />CONTRACTPRICEOFWORK�y���yZ — <br />'l <br />Addition <br />WORK leralion <br />7YPE New <br />Repair/Maint. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />WORK DESCFIPTION R����G ��`��� "� �ti 7�x� Hdli-T �'17�'Y�f� 17'l �+ 5 <br />rr�l�sTi,vb t.ocN'1ra�.). i�e-vs�a�O �'w�T p�� � 3 z i�l� <br />�j Rd"7-vl� �i�sa�s, �on+rr N�v <br />G: �[ I-f�A-J ST- F�i9-�S <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATEF CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SI�1K & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEFi <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C –A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP �XI�i7�� <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIRE°LACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST=AN <br />OTHER <br />' I HEREBY CERITIF'f'HAT I HAVE AF.AD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. : LL <br />PFOVISIONS OF LAWS AND OFIDINACES GOVERNING THIS TVPE OF WQRK WILL BE COMPIIED WITH WHCfHER SPECIFIED HERE�N OR <br />� NOT. TH[ GRANTING OF A PERtd1T DOES NOT PRESUME TO GIVE AUTHORITY TO VICLATE OR CANCEL THE PROVISION JF ANY OTHER <br />' SiATE OR LOCAL LA'N REGUL4TING CONSTRUCTION OR THE FERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFZED BY THF. <br />OWNEA OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RC'N AND 296�Q0 WAC. <br />T'�%"0 •�f- <br />