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P�RMIT APPLICATICjN <br />CITY OF EVERETT PERMIT SERVICES <br />320U CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITEA�DRESS SU�TE �i0�i� <br />qob sr EY('�jj' MA4C_ wAY <br />LEGAL LOT NO. BLOCK <br />DESC. �nJ j �,O G��G� <br />PARCEL TAX I.D. # '' <br />► S� S o53 ��8y oo c5 <br />SH A�" <br />. .._""-- <br />�AMES ���uEGE�' �/ CvLL/EP.i �J��'o /�,eBa'R H��6f,TS I�Iu/ftTEo� wA�/dZ�S /-/G� <br />TENANTNAME <br />�ON T_f�f/N��{� <br />CONTRACTOR'Z,lyyc <br />PHONE ��� <br />PROPOSED USE OF BUILDING <br />OF!"/CE <br />CONTACT FOR PERMIT <br />�,e�c �E/�ivE,C�T �ccvva�l.� J>fs.G� <br />ADDRESS <br />Building <br />PERMIT � Combination <br />7YPE Demolition <br />Sprinkler <br />CONTRACTPRICE OF WORK�,D� OOO,i � <br />RMechanical <br />Plumbing WORI <br />D Sign TYPE <br />ZIP <br />PHONE <br />Erii�� 06 <br />CONTR. LICENSE # <br />�Additlon I HEAT SOURCE <br />Alteration � Electric <br />New Gas <br />RepaidMainL Olher <br />CITY OF EVERETf' LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />�'EA'�J /N71:.t/a,e WAL�.f/�coCR/� L/� �,�'T!/.�EJ �w �A>� E.r�r G�� fon� <br />Svi�� yoS� PP�rvT�F a�� �N�sf/6S <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET(TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER <br />NO. .I TYPE OF FIXTURE OR ITEM <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUA4P <br />UNIT HEATERS <br />CLOTHES DRYER <br />R.4NGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS R.4NGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALI_ <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPe OF WORK 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 AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br />CONTRACIpRS LAW k�27 RCW AND 296200 WAC. <br />L �7 � <br />�L <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />