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PERMIT APPLiCATION <br />CITY OF EVERETT PERMIT SERVILES <br />3200 CEDAR STREET, EV[RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />�2Z`t �- <br />LEGAI.I LOT NO. BLOCK <br />DESC �r <br />OWNER <br />LK;W � N i�n,� �-,, 6 � S l- L� <br />TENANTNAME <br />�itrJ S�� <br />CONTRACTOR <br />�Q Rt.LI,iJN <br />PHONE <br />ti L-� 2 �-1 �. 5 <br />PARCFL TAX I.D. # <br />TRACT <br />CONTACT FOR PERMIT <br />PHONE <br />T# <br />� <br />� V���= ����S��J `�L�� 3tiG-5317 <br />AUURE55 ZIP f;ONTR. LICENSE # <br />C�n�S�t'LkC� �o,J i�J ScT (ZJi�i L'ucfCl;TI WT �LYL�I-zozS- <br />PROPOSED USE OF BUILOING <br />m�o�c,r� �C�=-.c� <br />Building Mechanical <br />PERMIT � Combination R Plumbing <br />TYPE Demolilion D Sign <br />Sprinkler <br />CONTRACT PRICE OF WORK I� J" 7? <br />WORK OESCRIPTION <br />�J�Y..o P.,R����N Nfi�Ls <br />LJ �� �a i 1"i^a L i �:r iL i � T� o•�� <br />S1i�L-"i�-��. O�t'vi wG-. <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DkAIN <br />BACKFLOW PREVEN7ER <br />SINK (SERVICE�BAR/h10P/ETC.) <br />OTIiER <br />���l,Ls <br />2 � .�+ 4- <br />TYPE <br />v Jf}-�-�-�Luoy icy <br />�tldition <br />Iteration <br />New <br />Repair/Maint. <br />HEAiSOURCE <br />y� Electric <br />L� Gas <br />U Other <br />CITY OF EVERETT LOCAL SALES TAX ^.ODE IS JY05 <br />NO. I TYPE OF F�XTURE OR ITEM <br />NC - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHFS DRYER <br />RANGEHOOD <br />WAT[R 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 EXAMINED THIS APPLICATION AND KNOW THE SAh1F TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L4WS AND ORIDINACES GOVERNING TF!IS TYPE OF WORK WILL BE CDAIPLIED 6VITH WHETHER SPEGFIED HEREIN OP. <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF P.NY OTHER <br />STATE OR LqCAL LAW REGULATING CONSTRUCTION OR THE PERFORM1tANCE OF CONSTRUCTION. THAT I Ald AUTHORIZED BY TNE <br />OWN[R OF THIS PROPERTY TO PERFORM TNE WORK FOR INHICH APPLICATION IS MADE.IND I COMPLY WITH THE STATE <br />CONTRACTORS LAIN 18.27 RCW ANO 296.2004VAC. <br />11�-i2�n �:.l.C�t.t =�J `l � 7 'c7 � <br />DE81T & CREDIT CARDS ARE NOT ACCEPTED �f � <br />