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SITE ADDRESS <br />906 SG <br />LEGA� LOT NO. <br />Cv I�� <br />ERM�T APPLICA�N <br />CITY OF EVERETT PERMIT SER�/ICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />Guere�-� /l� �, <br />BLOCK <br />PARCEL T:�C I.D. # <br />�828o�S-�-o�, <br />TRACT <br />TENMIT NAME CONTACT FOR PERMIT � <br />�TdT (,),re�ess 5��u�c.eS I Lla�d C��'ov� <br />CONTRACTOR sFi-t'��' AUORESS <br />" � —i3 V <br />PHONE <br />-vt <br />PHONE <br />CZo�1 s�o -3�u <br />ZIP CON R. LICENSE # <br />PROPOSED USE OF BUILDING BUilding I� MeChanical AddiUon HEAT SOURCE <br />�,rel¢Ss Ca7hinlu��;i,a+.��oJ� PERMIT Combinalion F_; Plumbing WORK Alterallon [� Electric <br />�},� TYPE Demolition IJ Sign TYPE � New �j Gas <br />f C1-G<<< lj/ Sprinkler U RepaidMainL 1� Other <br />CONTRAC7 PRICE OF WORYJf� /\ <br />�W v <br />WORKDESCRIPTION � f�s-(-0.��Q�di1 D� O.Jl�1ev�Y�G�S <br />('�'i�o � c. � C�✓1 <l.Sc:S'�: n�c S�',f'uc�{ (n,f�C,• <br />N6. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TO�LET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />dTY OF EVERETT LOCAL SALES TAX CODE IS 310n <br />a�tc� r�.o e�u,; P t,nev�i' o n <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INS[RT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HnVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND O� `iNACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A F_ T D�ES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF P�NY OTHER <br />ST�TE OR LOCAL LAW RECULAT�ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I 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 />CONTRACTCiRS LAW 18.27 RCW AND 296200 WAC. . <br />i <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />