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� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERElT, WA 98201 <br />I 425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />�ao � eu�RErr r� �� <br />LEGAI LOT NO. BLOCK <br />DESC. � <br />OWNERt -� p��y yJ� <br />T� Y i'V�l1t�� h.� <br />TENANTNAME <br />PARCEL TAX I.D. # <br />T(tACT <br />�'zo,s�EVEK�rr wrAt.�.wRy �1 <br />CONTACT FOR PERMIT <br />PERMIT M <br />PHONE <br />`. I�� C(�tP� I�Y�N �YNN �I�s-�74-Ss`�I <br />CONTRACTOR ADDRESS ZIP CONTR.LICENSEN <br />C��YMPz� MEcHRNSC/�L �NC. P.c�. �ok �32� LYr.x�wx=0 yeo�lb <br />PHONE �/S-�� 1— �V 1 I o�-YMPMz1�-r���l <br />PROPOSED USE OF BUILDING <br />GP�INt7 �Rf�TP�nP-niJ(� <br />Loi.� N(, Fi <br />CONTRACT PRICE OF WORK <br />Building <br />PERMIT � CombinellOn <br />7YPE Demolition <br />Sprinkler <br />MBChenlCal ,,,jjj��� Addlihn HEATSOURCE <br />Plumbing WORK �} Altorallon �Eteclric <br />Sign TYPE D New Gas <br />U RepalrlMeint. Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3705 <br />WORK �ESCRIPTION� �NSTF}l.�- N� PDCK�(rG l.�N� 1 �=c)2 tiPPF2 FtA61Z OFY�LQ-` I��-T t2EV1STONS <br />�-oQ ERjS7T1U� t��oF'Ta' P/k.K°<,-� .nNFT— T'ivSrnc� TUK� N�.w S�FTc,� i£xHAt,�ST F�lNS — <br />.i-NSi,1LL 'Twl7 lJ�w 1�\Tff F/�t-5 ^(vASPLPQ. �O NZw' =WFf� NNFT <br />NO. I TYPE OF fl%TURE 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/BAR/MOPlETC.) <br />OTHER <br />N0. � TYPE OF FIXTURE OR ITEM <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />ME7AL FIREPLACE/STOVE <br />PIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />1 HEREBY 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?HIS TYPE OF WORK WILL BECOMPLIED 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 REGULATIN6 CONSTRUCTION OR THE PERfORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />C�NTRACTORS LAW 7827 RCW AND 296.200 WAC. <br />6 � G -05- <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />