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SITE ADDRESS <br />7 0�7 <br />LEGAL LOT NO. <br />TENANTNAME <br />PE�2MIT i4PPLICATlO <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />�l310 <br />� <br />BLOCK TRACT <br />PARCEL TAX I.D. # <br />CONTACT FnR PERMIT <br />PERMIT # <br />PHONE <br />�}0�1 �ra��+�✓ I �ro��l�. �oG-229,52 `lS <br />CONTRACTOR Ov-r�� �r� ��tADDRESS�) 3�' S, I�C' IL S,� ZIP CONO�TCG ��Q�a�� <br />' (� /� � 4 <br />PHONE � 2G6 ^a'�'3 ' 7�Q�L SCsi�JI� �"�H 90��/(/ <br />PROPOSED USE OF BUILDING <br />8uilding Mechanical <br />PERMIT �Combination � Plumbing <br />TYPE Demolition Sfgn <br />Sprir.kler <br />WORK R <br />TYPE D <br />U <br />Addition I HEATSOURCE <br />Alteration Electric <br />New Gas <br />Repair/Maint. Other <br />CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION �1'� S�r J�( � /� II 00� I( �0 SS I <br />N t h� S J i('r, �� 1'� <br />�y� S.i-q, �IhAS <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYiRAY <br />CLOTHES WASHER <br />URINAL <br />DRI�KING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOPIETC.) <br />OTHER_ <br />N0. �I TYPE OF FIXTURE OR ITEM <br />A/C-AIHANDLING 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 FIREPLACc <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER _ <br />�t �irl..� <br />�� <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED 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 SFECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF APIY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I CGMPLY WITH THE STATE <br />CONTRACTORS yAW 1827 RCW AND 296200 WAC. <br />ri <br />.O <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />��L <br />