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SITE ADDRESS <br />�OC�C� <br />LEGAL LOT NO. <br />DESC. C'r-�— <br />C� <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 />BLOCK � TRACT <br />PARCEL TA% I.D. # <br />Co�, �-� $rr�rura-rrd.,� �a ¢�� s � y� szzc-�r <br />su� � <br />NAME <br />CONTRACTOR �,�```{ 1 � <br />�c.e� <br />PHONE <br />CONTACT FOR PERMI f <br />1 G� cf �— M►��oE�'se� <br />3L�AD;RESS, ^VCSE <br />\p � /'C <br />I�=��lu c, c��� s� �s. <br />PERMIT # <br />98ar{ 8ou - ti s9 �� <br />PHONE <br />yZS co4 + -g2ex� <br />21P CONTR. LICENSE i <br />t=o�-�sNAc + SaaD <br />PROPOSED USE OF BUILOING I Building f'l Mechanical Atldition HEAT SOURCE <br />PERMIT Combinatio�i F_� Plumbing WORK Alteration R EleUric <br />NPE Demolition �� Sign TYPE New LJ Gas <br />Sprinkler RepainMaim. U Other <br />CONTRACT PRICE OF WORK 2` (�� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 <br />WORK DESCRIPTION <br />�t^r.sS"tl�Uc_.Zl� O� �Yac.S.::�a!- Sxr��2.S <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASIi BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER <br />NO. � TYPE OF FIXTURE OR ITEM <br />AIC — AIHANDLING 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 />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 ORIDINA��Pc OF WOFK WILL BE COMFLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES PRESUME GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW RE L�CTION OR T E PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOR2ED BY THE <br />OWNER OF THIS PROPERTY O PERF RM THEVv'ORK FOR ICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CREDIT CARDS ARt NOT ACCEPTED <br />'IL <br />