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R�MIT APPLICATI� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-88.ri7 <br /># <br />SITE ADDRESS 9� 5� i ���2£7/'Nl%�Gc wy <br />FuFP_�TT Lc�l� 4R2c7R <br />LOT NO. <br />�ey�.e <br />TENANT NAME <br />PARCEL TAX I.D. # <br />BLOCK TRACT <br />� ��Eg ADDRESS <br />I CONTACT FOR PERMIT <br />PHONE <br /># <br />b(o <br />�(L'IMA� [oy��[�� � %� �-1YcoF� 20� 2�0 3��/9 <br />CONTRACTOR S/iC��/2 ME�rl�,J1L�a[_ ADDRESS�y'j� 2/9 T��Sj� +��dZZlq�d�Z CONTR. LICENSE# <br />� $RL�E2 tiiZ rjgg.UK <br />PHONE ��ZS/ �v2 /%� a' /V ' � <br />PROPOSED USE OF BUILDING <br />Building D Mechanical <br />PERMIT � Combination �Y Plumbing WORI <br />TYPE Demolitian � Sign TYPE <br />Sprinkler <br />CONTRACT PRICE OF WORK� 2� �� pv <br />Addition <br />Alteretion <br />New <br />Repair/Maint. <br />HEATSOURCE <br />Electnc <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORKDESCRIPTION �V�OV� �J��ST/iJ(a S/�J� /!� � rF£T �`�% I'��� ���UN� Y<<X�L S/^�!� <br />FlabC�%N� 1� ��3A �=;�/L EC�tv�P•tie..v r <br />NO. I 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 <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />F1.00R DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTH <br />r70I' Si,t L� <br />NO. . I TYPE OF FIXTURE 6R ITEM <br />A/C — AlHANDLING 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 INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I 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 THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEP.EIN OR <br />NOT. T.i-IEGRANTING OF A PERIv11T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />ST E OR LO AL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED �Y THE <br />O NER OF T�S PROPERTY TO PE,V�F�fv1 THE WORK FOR WHICH APPIICATION IS MADE ANL I COMPLY WITH THE STATE <br />NTRACTO S LAW '18.27 RCW Ap(IJ 6.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />