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� I� <br />SITE pDD <br />PERMIT ARPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STRE;=T, EVERETT, WA 98201 <br />425-257-8& 10 - FAX 425-257-8857 <br />2ESS PARCEL TAX I.D. S <br />;� �4�,� y��� �,.ia� 2BostSoo3o <br />LOTNO. BLOCK TRACT <br /># <br />15coo I�o-tH Av6 �JE _ <br />�oP> MOAI�"C�Dt-•1F�N £ CO. Z �11'E 203 I�.�ELt..EJUE '�e�v �j25 • 3i�i • 8� <br />TENANT NAME COtiTACT FOR PERMR PHONE <br />n —1"R.Av��i �—.IESS <br />.%�oa.�� �n�n�6��.,� � ►..�-�.,v a�,�,,-FJci-�e,� 253•92z•�1�37 <br />PHONE <br />PROPOSED USE OF BUILOING <br />ADDRESS <br />Building Mechanical <br />PERMIT Combinalion R Plumbing <br />7YPE DemolillOn D Sigr <br />Sprinkier <br />CONTRACT PRICE OF WORK � 321 , 3—IO . OC <br />Z1P CONTR.L�CENSEM <br />�Addition <br />Alleratian <br />New <br />P,epaidMaint. <br />HEATSOURCE <br />D Electric <br />B Gas <br />Olher <br />CITY OF EVEREtt LOCAL SALES Th)( CUDE IS 3105 <br />WORKDESCRIPTION S�'pA 0'Z—� <br />rJFw 13u��fl��6, .o�r +�K��s�t�Nt�, tYla,��. P.tn_►��rt� Loj- <br />��� , %� <br />Ll <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />^ KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMf' <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />u <br />I H[REBY 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 NPE OF WORY. 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 AUTHORIZEU BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />ro•z►• <br />mzea i+yem ua[e � <br />IZ <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTEC <br />