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( � <br />PERlIIIIT APPLICATlON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />Z Z. Z`? M�4� � sonl f�v1E- <br />IEGA LOT NO. BLOCK <br />DESC. 3I � 3�. �� <br />PARCEL TAX I.D. i/ <br />sy��7o r zcz �oo <br />Gr4R�srcaSenl E2uwur/ f-�HEs,luc �7/O /'j5M' PI, S,GJ, <br />EDMee/DS. �./iF. 9RazG <br />TENANTNAME <br />CONTRACTOR <br />GHRfSTiNSEpI QKAL (TY }{o,W�S� I IJL, <br />PHONE <br />PROPOSED USE OF BUILDING <br />SIN�+iLE �AM�L'I RES�pE�y� <br />CONTACT FOR PERMIT <br />y.�bD G�-FRtS'r-C-,h15En1 <br />ADDRESS <br />lp710 f35*`i�I,5,t�1, <br />CDMON�S� LiWM'. qBeaG <br />Building Mechanical <br />PERMIT � Combination R Plumbing <br />TYPE Demolition d Sign <br />Sprinkler <br />CONTRACT PRICE OF WORK �` �r 3� 20-�� o 0 <br />WORI: OESCRIPTION <br />;���)c�905 <br />ERMIT # <br />�OZ„� <br />a C.� <br />ZIP PHONE <br />�zS Z�e �Sz� <br />PHONE <br />'`f'LS 21 8 I B'L2 <br />ZIP CONTR. LICENSE i6 <br />L 4{'i;15 0. ►{ l o'I c G <br />Addition HEAT SOURCE <br />Alteration ElecUic <br />New � Gas <br />RepaidMaint U Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />�k�LD /}/�JEL..I SINGc..E �ifMllY ��5�'�GNG� <br />NO. I TYPE OF FIXTI:RE OR ITEM <br />L WATER CLOSET (TOILET) <br />�_ BATHTUB <br />y� LAVATORY (V��ASH BASIN) <br />� SHOWER <br />� KITCHEN SINK & DISPOSAL <br />�_ DISF'NASHER <br />LAUN7RYTRAY <br />1_ CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICElBAR/MOP/ETC.) <br />.JTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C-A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <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 RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER _ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXNMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING'� NIS TYPE OF WORK WILL BE COMPLIED WITH 1NHETHER 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 CONSTRUCTIO� OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF 7HIS PROF'ERTY TO PERFORM1t THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />COPlTRljGF@Rfp LAW 18.27 RCW AND 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />