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SITE ADDRESS <br />�� IU kUe� zt+ M�11 <br />LEGAL LOT NO. <br />DESC. <br />PE�MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3'L00 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />PARCEL TAX I.D. # <br />�a�C�51 �vc,�ovioo <br />TRACT <br />PERMIT p <br />K .�// o0 <br />�Ve.rzu (��+u:l P�U}��� LLL `jYN 3�'� AV� �4e 14� �.:ftle 98by <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />I- <br />C NTRACTOR <br />j��he�` `On�+"�•c+�en.L�1L <br />( �,53 ) `.; 7 � -7.za.7 <br />PROPOSED USE OF BUILDING <br />SCC, �.�. 5� i be� + <br />ADDRESS <br />7�7� � �.ciE'°Sr ISe�iY <br />Bwldinc Mechanical <br />PERMIT Combination R Plumbing <br />TYPE Demolition � Sign <br />Sprinkler <br />C�'i3� �5'.Z-7;�'i�. <br />ZIP CONTR. LICENSE q <br />`i �;z ARc:1iF L�-�,�90F <br />�ddilion HEAT SOURCE <br />WORK Alteration � Eledric <br />TYPE New Gas <br />RepairlMaint. O�her <br />CONTRACT PRICE OF WORK {S I'1 C��—�--- CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />rr J` <br />WORK DESCRIPTION <br />N0. I TYPE OF FI%TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SIIOWER <br />KITCHEN SINK & 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 />NO. I TYPE Of FIXTURE OR ITEM <br />A!C — A/HANDLING UNITS <br />FORCED AIR SYSTEM11S <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <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 NPE OF WORK IMLL BE COMPLIED WITH 1MiEiHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PER�71T 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 AUTNORIZED BY THE <br />OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 29620D WAC. <br />DEBIT � CREDIT CARDS ARE NOT ACCEPTED <br />