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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS ttrIlt 'j I PARCEL TAX I.D. n p IT P. <br />305 Zde,-e,'%t #[a,11 Ilia SE1 F6030L4360 <br />LEGAIJ LOT NO. I BLOCK TRACT <br />s 4 305 Eve T F ln+L,L ly/9 Y 5E F'vt r e <br />TENANT NAME CONTACT NAME �' / PHONE '' // <br />�c✓- bCra 3/0-374— 4/6 <br />Cn✓tTRACTOR /i 1el� r � n� ADDRESS ZIP <br />CONTR. LICENSE M <br />1LriL�/t V f <br />PHONE <br />z5-3- <br />PROPOSED USE OF BUILDING Building f"1 Mechanical Addition MEAT SOURCE <br />Ei�/L PERMIT H <br />Combination II�((�Plumbing WORK Alteration Electric <br />TYPE Demolition Sign TYPE New Gas <br />Sprinkler (R of heads) I P Repair/Maint. Other <br />CONTRACT PRICE OF WORK t%U 6 Oo I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />IuSTALi oN _ <br />Sal of <br />//vD/viDj/� <br />/�GUiY!/NrFTED Ch`�✓NE i <br />l,�ZTE,2s <br />RE.+PIIv 6 ` <br />Fk+M ES <br />-t " --,I' x <br />15 'Ib" <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR REM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />�:ITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER _ <br />_ <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOV6 <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINE) THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED ;iEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OFT IS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACj�iS,ISWjf]27 RC;V AND 296.200 WAC. <br />l 2- <br />