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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI', WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />906 s� E�e� M ll • <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />e�� <br />� NAN NAM � <br />�"�� <br />CON RACTOR S�a�TCf.,I1 <br />� <br />PHONE <br />vzs ���� ��vvU <br />PROPOSED USE OP BUILDING <br />CONTRACT PRICE OF WORK � <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />TRACT <br />( M,O,, �• ,�,� <br />CONTACT FOR PERMIT <br />ADDRESS (�3D(o 21S'�f'i��' S(� <br />1'1'lBu.YL'{'�G{[; TGf K1CL <br />Building Mechanical <br />PERMIT � Combinalion �lumbing <br />7YPE Dem01iti0n Sign <br />Sprinkler <br />(Ze� I c�u.rn.c.w� <br />����� . <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <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 DR,41N <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />� <br /># <br />PHONE <br />4u���S• 7'!yy <br />ZIP CONTR. LICENSE # <br />45soq3 st�Nr+�* rsa�p <br />�Additlan <br />Alteratlon <br />New <br />RepaidMaint. <br />HEATSOURCE <br />D Electric <br />B Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />„f) C�,u,�� S'qh , us�'v�ct e-�c�'�� g�qn <br />"I + <br />NO. . � TYPE OF FIXTURE OR ITEM <br />A/C — A/I�ANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />_ GASRANGE <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 TNIS TYPE O' WORK WILL BE COMPLIEO 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 />STA R CAL LAW REGULATING C NSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />0 E O HIS PROPERTY TO P�RF�RM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />