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P�MIT APPLICATi� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEUAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADORESS � S� <br />LOTNO. I BLOCK � TRACT <br />PARCEL TAX I.D. # <br />PERMIT # <br />Xr�-(�3 -bb1 <br />�..^=^pp� rto�crreol�frr��r �.'r'bo r Dtff ��� <br />k Co I��r,yp �,,�,lN s�slz� ����cc�vt� 98G�os �{z�r.3�8_$!'�- <br />TENANT NAME � CONTACT FOR PERMIT PHONE <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />�.����la��-�,t��� ���s F��1�r-D�rv� �Z� ��2o6c <br />PHONE �O. �S� 6G�/ �"'P[�C��iJTZ�J[C% <br />l <br />PROPOSED USE OF BUILDING <br />���z \LL— <br />Building <br />PERMIT R Combinalion <br />TYPE D Demolition <br />L� Sprinkler <br />�l�echanical <br />lumbing WORI <br />V Sign TYPE <br />Addition <br />Alteration <br />New <br />RepaidMaint. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CONTRACT PRICE OF WORK �/�` ��-'�_ �—� I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />G <br />WORK DESCRIPTION (�i ����C%e c <br />�Gr����22��� ��co `� � c���',�r�%z �*r-a <br />� <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOW ER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER J <br />LAUNDRY TRAY '.( " � �f �.— <br />CLOTHES WASHER � i(�v`� <br />URINAL d''`� <br />OR�NK�NG FOUNTAIN � <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. . 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 />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE // <br />GAS PIPING Z �j�.'�LQjd- <br />EXHAUST FAN <br />OTHER <br />I HERFBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF tAWS AND ORIDINACES GOVERNING TH!S 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 CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE �NORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />� <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />