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PE�RMIT APPLICi4TIO�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />SD o SC C.'✓2T IhA-u wif�. <br />LOT NO. <br />/20�'NS uN <br />TENANT NAME <br />• T7/.�1-T-i <br />BLOCK <br />�!�vyr�enNc <br />F3�2v's �e�T . <br />CONTRACTOR <br />�s�S/NSonl Ptun��,�...G <br />PHONE �3�0)�O�-7�t(oL <br />PROPOSED USE OF BUILDING <br />PARCEL TAX I.D. # <br />TRACT <br />CONTACTFORPERMIT <br />AO�RESS <br />�9330 /.�-�t� d�N�,c <br />.4,eu�-tcrv,� c�A <br />Building DMechanical <br />PERMIT g Combinalion �'Plumbing <br />TYPE D Demolition L.� Sign <br />U Sprinkier <br />CONTRACT PRICE OF WORK �� s�,4 <br />WORK �ESCRIPTION <br />i NSJ��c C7� � <br />PLUMBING <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PERMIT # <br />PHONE <br />ZIP CONTR. LICENSE # <br />2aB �,�p k- z� z c� <br />9�2z3 <br />AddiNon <br />WORK Nteration <br />TYPE New <br />Repair/Maint. <br />HEATSOURCE <br />D Electric <br />B Gas <br />Cther <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�{�!/R-OOM S Se',� Nu,T /�D,e Qc'S� _ <br />NO. .I TYPE OF FIXTURE OR ITEM <br />A!C —AIHANOLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <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 MNGW THE SA�dE TO BE TRUE AND .ORRECT. ALL <br />PROVISIONS OF I.AWS AND ORIDINACES GOVERNING THIS TYPE OF WORK Vr';LL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GftANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY 70 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 OF THIS PROPERTY TO PERFORM THE �VORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RC1�,1ND 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED I <br />