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PERMIT APPLICATI <br />CITY OF EVERETT PERMIT SERVICES <br />320L CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 -- FAX 425-257-8857 <br />SITE ADDRESS <br />Z 2 2/ /�'l ADtSo iJ �iVE <br />LEGAL LOTNO. BLOCK <br />DESC. Z7 gZg �7 <br />PARCEL TAX �.D. # <br />DOS�y�-?o/ 20 <br />rRacT /� n <br />'�C�ql�s�s <br />PGRMIT # <br />U (p7 � O !3$�l,S{J,�r rnvnc <br />G!-/Rrs-r�iJSE'iJ 6��tau-ryHorcE's rn/G. �Zs zrs rezz <br />, FDM�NDs,wq 9eos� <br />TENANTNAME CONTACTFORPERMIT PHONE <br />I 30 3 c_r-r-rusr�Ns�,,l �zs z�8 �ezz <br />CONTRACTOR <br />C}{R�sTENSE�J � a �?y I�}or�s�/�1L <br />PHONE <br /><Fy5 Zi8 �Szz <br />ADDRESS <br />Cn? l o � 35T" PI 5�J <br />EDM o iJDS� uJq, 9goz4 <br />ZIP CONTR. LICENSE # <br />G I-�RtStaN lo'7G� <br />PROPOSED USE OF BUILDING Buildiny f-1 Mechanical Addition HEAT SOURCE <br />PERMIT Combinalion �_� Plumbing WORK {R..1 Altera6on Q ElecVic <br />S r n�bic FRMr�.y �F_3iC�ov TYPE Demolition LJ Sign TYPE pQ New Qy Gas <br />Sprinkler L� RepaidMaint. L� Olher <br />CONTRACT PRICE OF WORK ��53� Z07, 00 CITY OF EVERETf LOCAL SALES TAX COOE IS 3�05 <br />WORK DESCRIPTION <br />�ti��-D /� NELJ S/NG4E Fq-Hl��! RE'3�DPJ�'r'L <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATURY (WASH BASIN) <br />SHOW ER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUN iAiN <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/;1ANDLING UNITS <br />�_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />UNIT HEATERS <br />1_ CLOTHES DRYER <br />J_ RANGE HOOD <br />�_ WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />� C.�S FIREPLACE <br />�GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />_ OTHER <br />I HGREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS AFF'LiCATON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINAC� i GOVERNING THIS TYPE OF WORK WILL BE GOMPLIED WITH WHETHER SPECIFIE�'J HEREIN OR <br />�IOT. THE GRANTING OF A PERMIT DUE� NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL Thic PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CO�JSTP;ICTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM RUTHORIZED BY THE <br />OWNER OF THIS PROPE?.TY TO PERFOP,M TI �:c WORK FOR WHICH APPLICATION IS MADE AND I COMPLY VJITFi'i itit �T.4TE <br />CONTRACTORS LAW 18.27 RCW AND 296:1GC NJAC. <br />DEBI'� 8 CREDIT CARC3 ARE NOT ACCEPTED <br />