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P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />4•25-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS �E'p S£ vV"G�E �'r HAiL l.�/ PARCEL TAX I.D. # <br />EvF.ae�r t.rA 9xo3fi �B�oS <br />LEGAL LOTNO. BLOCK TRACT <br />DESC. <br />Roa��Son1 PRon��r y <br />TENANT NAME 7' � ('aj <br />C4UwnlG-��AT TI-tI�-� <br />CONTRACTOR <br />PHONE <br />PROPOSED USE OF BUILDING <br />P£S7Nh•t�A-�J� <br />CONTAGT FOR PERMIT <br />0�1-T <br />ADDRESS <br />�$ Building D Mechanical <br />PERMI7 j7 Combination u Plumbing <br />TYPE Demolilion U Sign ' <br />Sprinkler <br />CONTRACT PRICE OF WORK � 9�0� OC� •� <br />WORK DESCRIPTION <br />Tz <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATEF: CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERV�CE/BAR/MOP/ETC.) <br />OTHER <br />TYPE <br />PERMIT # <br />go c� -o <br />ZIP PHONE <br />PHONE <br />�206 ) 2 2 7- �F l % �-f <br />ZIP CONTR. LICENSE # <br />�D(.? ���- % �%� <br />Addition <br />Alle2tion <br />New <br />RepairlMaint. <br />HEATSOURCE <br />Electric <br />Gas <br />ome� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />NO. � TYPE OF FIXTURE OR ITEM <br />AIC—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PIIMP <br />UNIT HE;aTERS <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 />EXHAUST FAN <br />OTHER _ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMIIVED THIS APPLICATION AND KNOW THE SAME TO 6E TRUE AN� CORRECT. AlL <br />PROVISIONS OF fAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN 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 ;ONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION I& MADE AND I COMPLY WITH THE STATE <br />DEBIT & CREDIT CARDS ARE NOT AcceP rr.0 <br />�r2 <br />