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SITE ADDRESS <br />LOT NO. <br />�WNER�. V. �. M <br />l5lpo 1�4o�nt C <br />� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� <br />BLOCK <br />pARCEL TAX I.D. # <br />2$U518oUbay3oo- �8�a <br />TRACT <br />C ` J . XYURGJ� <br />��IIr�In.a�W� �I`6005 <br />TENANTNAME <br />sian/b,.��ws C�(Fe,E Co� <br />CONTRACTOR T, a• D • <br />1 <br />PHONE <br />PROPOSED USE OF 6UILDING I <br />��o s�F. �Q�..�o � � <br />cfvN< ��i'In.v��. • <br />CONTRACT PRICE OF WORK �Q � <br />1 <br />WORK DESCRIPTION <br />�J��S.�• 2d�7r-CASa <br />Y�'iYOd�S� C.tAGt.t7av� <br />eS�veSto ��i.ujoh^a-'- <br />PLUMBINC <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />�`�i LAVATORY (WASH BASIN) <br />.i SHOWER <br />ITCHEN SINK & DISPOSAL <br />,� D WASHER <br />-" LAU RYTRAY <br />� CLOTH WASHER <br />� URINAL <br />� DRINKING FO AIN <br />� FLOOR DRAIN <br />�BACKFLOW PREVEN R <br />SINK (SERVICE/RARIMO ETi <br />CONTACT FOR PERMIT <br />a,�� �� <br />ADDRESS <br />Building DMechanical <br />PERMIT � Combination U Plumbing <br />hPE Demolition U Sign <br />Sprinkler <br />Ci i•-• <br />y2.��a7d'�8'1�/� <br />PHONE <br />'�2.5•4�Z7��[vo <br />ZIP CONTR.LICENSEA <br />Addilion <br />Alleration <br />Naw <br />RopairlMaint. <br />HEATSOURCE <br />Eleclric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX GO�E IS 37uo <br />J�-'c W�CiHV['pi1s.N,c- • J�-V �h-:Y�� �'- r.uri�� / <br />�I1�G�i�i.Itif.a.�'La� �����Lli%^��^��' �v 1�30'�'�U�IM,! f <br />NO. I TYPE OF FIXTURE OR ITEM <br />L AIC-A/HANDLINGUNITS <br />— FORCED AIR SYSTEMS <br />— HEAT PUMP <br />— UNIT HEATERS <br />_ CLOTHES DRYER <br />� RANGEHOOD <br />WATER HEATER <br />— METAL FIREPLACE/STOVE <br />— EPLACEINSERT <br />'� VI� nno <br />GAS � <br />� GAS PIPI <br />/ EXHAUST <br />I HEREBY CERITIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATIO:J 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 GR4NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCcI 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 PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 78.27 RCW AND 296200 WAC. <br />.�� •D� <br />DEBIT 8 CREDIT CARDS AR� NOT f►CCEPTED <br />.y <br />