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SITE ADDRESS <br />y 3ZZ l�}, <br />LEGAL LOT NO. <br />DESC. <br />.�r�1��� ��= <br />TENANTNAME <br />PCRMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />��%� <br />BLOCK TRACT <br />AODRESS 211 <br />� 4 3zz l��t- /�-���e <br />ICONTACT FOR PERMIT <br />�Z � � <br />PERMIT # <br />Mo3r��-c�13 <br />PHONE �-L�_ ZZ <br />.(J�"�'� (�bl.J <br />PNONE <br />..a-'v• L <br />CONTRACTOR ADDRcSS ZIP .� CONTR. LICENSE # <br />�'o�%.\ C��c-.�r-�' �Z`'IGI 1�l� �i- S�- ��.CmfYrQ. `-(d z.Yz <br />PHONE J �� U � <br />PROPOSED USE OF BUILDING <br />�`J � � �1'"IG� 1 <br />Buildi�ig Mechanical <br />PERMIi R Combination Plumbing <br />TYPE D Demolition Sign <br />�� Spnnkler <br />CONTRACT PRICE OF WORK H1 P� � <br />� .i <br />WORK DESCRIPTION <br />P�>t�� i� <br />Addition I HEA�OURCE <br />Alteratlon Electric <br />New Gas <br />Repair/Mamt. Other <br />CITY OF EVERETT LOCAL SALES TAx cwt ia s�uo <br />�kC���c;C� 6iv �c�� t <br />NO. I TYPE OF FIXTURE OR ITEM <br />WA7ER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPlETC.) <br />OTHER <br />C�..�c{- �:��. <br />NO.. I TYPE OF FIXTURE OR ITEM <br />A/C — PJHAN�LI NG U N ITS <br />ti!, FORCED AIR SYSTEMS <br />7'� HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />ME?AL FIREPLACE'STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE � � <br />� GAS PNNG ��v, i` ti, 7 <br />1 <br />EXHAUST FAN � <br />GTHER <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 LAWS AND ORIDINACES GOVERNING THIS NPE OF WOR!( WILL BE COMPLIED WITH 1NHETHER SPECIFIED HERcIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOV.TE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORM14ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THISF,�tOPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTF�.CTORS IW,W 1A.27 RC ND �00 WAC. � <br />l � U.t nrtiv,� � -�Q � <br />7EBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />