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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />S`OS� 5� �ucrc.l <br />LEGAL LOTNO. <br />DESC. <br />OWNER <br />�61o�/c Grt�,�.Tice. <br />TENANiNAME <br />PARCEL TAX I.D. # <br />� in�41( lv.F Z$ oSf $' oo �o �/ $ o 0 <br />BLOCK TRACT <br />LL c /o g ot M,¢,',� ST ,C�o! <br />I CONTACT FOR PERMIT <br />PHONE <br />65 - o <br />��,L I ,$-fc�� PGo�� �{z�- 77�-gs'3.S— <br />CONTRACTOR t�C ft� N�o,d c a ADDRESS ZIP CONTR. LICENSE iF <br />'y0o �f�i�iSuv Il[i <br />PHONE <br />�jll.S : j76� � <br />PROPOSED USE OF BUILDING <br />�t71/uVL 5 <br />���,�F�� w� ��Zo3 a ���yti�o>>��. <br />Building Mechanical <br />PERMIT R Combination Plumbing <br />TYPE g Demolition ign <br />Sprinkler <br />CONTRACT PRICE OF WORK � Z Q� ��+ <br />Addition <br />WORK Alteretlon <br />TYPE ew <br />RepairlMaint. <br />HEATSOURCE <br />D Electric <br />B Gas <br />ONer <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORKDESCRIPTION ;NS�Q�� �2) Sl�S oF ��f�✓ c%�1-.✓�✓sL L�ffriS <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHbVASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOPIETC.) <br />OTHER <br />NO. . � 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/uTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIPY 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 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 CONS'RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPER TO PERF M'fHE W^^^ �ORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 RC 961�j�r.�.� <br />��L <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />