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CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />4?5-257-8810 -FAX 425-257-8857 <br />] PARCEL TAX I.D. # ERMIT # <br />SITE AU REST/ U <br />U L-I D VZC � j05-u / <br />LEGAL LOT NO. BLOCK TRACT <br />DESC. <br />OWNER ADDRESS � ZIP PHONE <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />�o-LuA�,' ¢2S�7vb637 - <br />CONTRACTOR SC,L� ADDRESS 5i� ZIP CONTR. LICENSE # <br />PHONE <br />PROPOSED USE OF BUILDING <br />'5;� Building li Mechanical <br />PERMIT Comhination Plumbing <br />WORK <br />Fi Addition <br />HEAT SOURCE <br />D ElectricGas <br />TYPE <br />New <br />TYPE Demolition Sign <br />Sprinkler <br />III-Kg((,Alteration <br />Repair/Maim. <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />WORK DESCRIPTION <br />U� I-) C G-2 )3,Z 1 t v,�i f2 Elivta V <br />'T G G)CI STl �j C� <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />A/C — A/HANDLING UNITS <br />_ <br />BATHTUB <br />_FORCED <br />AIR SYSTEMS <br />_ <br />_ <br />_ <br />LAVATORY (WASH BASIN) <br />SHOWER 1 I <br />KITCHEN SINK 8 DISPOSAL 111 I 111 <br />_HEAT <br />_UNIT <br />PUMP <br />HEATERS /,� ,/� <br />DRYER rl f /11 <br />_ <br />DISHWASHER �/ �J�VJJ V" I <br />_CLOTHES <br />_RANGE <br />HOOD / v l�_ 1 <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />_ <br />URINAL <br />_FIREPLACE <br />INSERT <br />_ <br />DRINKING FOUNTAIN <br />_GAS <br />FIREPLACE <br />_ <br />FLOOR DRAIN <br />_GAS <br />RANGE <br />_ <br />BACKFLOW PREVENTER <br />_GAS <br />PIPING <br />_ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_EXHAUST <br />FAN <br />_ <br />OTHER <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 IAVt'S AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 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 />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO�PERFORM THE WORK FOR WHICH APPLICATION: IS MADE AND I COMPLY WITH THE STATE <br />CON l��.f � LA�1 B.8.2� AC. /�/) �iJ GJ / <br />�✓ <br />✓ <br />F <br />Sig/n�tu/e of Owner/G'6ntractodAuthonzed Agent(Date <br />DEBIT &CREDIT CARDS ARE NOT ACCEPTED <br />3� <br />PERMIT APPLICAI ION <br />