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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVE'ETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL. TAX I.D. # <br />3101 f �fEn1l4� F�/ t`Ij3oe�ov(o/o( <br />PERMIT <br />- ;l_ <br />0`fT <br />LEGALL LOT NO. BLOCK 006 <br />TRACT <br />'IFS!' f I' Z <br />OWNER ADDRESS ZIP PHONE <br />-fw f/wf'Tr i mlU -- �401 lio T- Av'✓. `t 6- 33 l - 5f4�— <br />TENANT NAME <br />CONTACT FOR 2ERMIT PHONE <br />L ww(' <br />I MWK Mrs I ' 07 z�- S�tGo <br />CO;ITRACTOR ADDRESS ZIP CONTR. LICENSE # <br />KltZlUY'CC7� 5°GIAIJi/ �hL (PI° 5� ElfcK NIA{J, µ!A'(I CT£ (OZ "(W5 KtKVG 2�ZKF <br />PHONE <br />t-6- �09. 0g0y <br />PROPOSED USE OF BUILDING <br />Building li Mechanical <br />PERMIT Combination Plumbing <br />Addition <br />WORK Alteration <br />HEAL• SOURf E <br />Electric <br />t�E0iGA1 brfle� <br />Demolition Sign <br />TYPE New <br />Gas <br />I{1 J{( <br />TYPE <br />b <br />Sprinkler <br />Repair/Maint. <br />Other <br />CONTRACT PRICE OF WORK (('�/ OOn I -CITY OF EVERETT LOCAL SALES TAX CODE IS 31CS <br />WORKDESCRIPTION �� V�y7 UI456T-5 OF A jCENPDE!, OF Ttf- fle(1! fiMDN Agj�lt wmlc F-QPMS� <br />Tdl�i�/ ANd UFPIck5 of TM 3Kv fCooP- FA-Mky TKAC--n(4 Al!i-Tr'7�1f11U� 3/ Y37 5�- fN kN <br />"ArTAt i5W-rltiot4� <br />F-XA5T1uD• ,f�pIGYL 91AIL tkA-, �Nbvhij0t.6 In.1ttAVZ 1,16r k- GA1(4 SfkV WrcLL / <br />tAWWv1(-/ Fliit '5/ A(OuSi-ICM.. PNDf 1u(riiNF SYS <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 — AIHANDLING UNITS <br />—T <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />_ <br />HEAT PUNIP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />PANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />0 <br />BACKFLOW PREVENTER <br />GAS PIPING <br />' <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />OTHER_ _ <br />OTHER <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OR)DINACES 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. I AM AUTHORIZED BY T.HE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STAI"E <br />C CTORS LAW 18.27 RC }Qr NPR D L,6.2C01p'AJ. 7 / <br />1 fit, <br />Sign re of Owner!Conir ctor/Authorized Agent Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />