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-� „ <br />F�ERMIT APPLICATIuN <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 />�}l�07 Hay+ A��- �vereli- <br />LEGAL LOT NO. BLOCK <br />DESC. 17 £ I g ID <br />OWNER <br />Cd�,,,uNd P SchulL �fdo� <br />TENANTNAME <br />CONTRACTOR �e%�' (04lNBV) <br />PHONE <br />PROPOSED USE OF BUILDING <br />PARCEL TAX I.D. # <br />Gi�40�8o i o0 1700 <br />TRACT <br />�NTRA� PARK ADDirioN 70 <br />,qve..� Everer� �,ciA 9BZ�� <br />CONTACT FOR PERMIT <br />Ed SG!'lul� <br />A�DRESS <br />Building Mechanical <br />PERMIT g Combina!ion R Plumbing <br />TYPE Dem0llfiOn � Sign <br />Sprinkler <br />�TRACT PRICE OF WOFiK' � � �(�S� <br />WORK OESCRIPTION /��� <br />/7CfG(� lLI�N � �lQ.ri' Serv;ce <br />O� y� 5 �l��/QCe /h5G>rf ��'/ <br />— �,/P_/ IiN�:.._ ��k%S�iy� LIPn�� <br />NO. I IYPE OF PIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHVJASHER <br />LAUNDRYTRAY <br />CIOTHcS WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />PERMIT # <br />M�3o9 D3 <br />259-6877 <br />P��ONE <br />4zs-259-68 �� <br />ZIP Cl7NTR. LICENSE # <br />Addilicn HEAT SOURCE <br />WORK �Alteration �ElecUic <br />TYPE New Gas <br />Repair/MainL . Other <br />CITY OF EVERETi LOCAL SALES TAX CODE IS 3105 <br />IU l9UClS� . �InSfQ��Q/!Gy <br />4ia�er `J�a�� a�,.ct� aSSc�ia� <br />NO.. � TYpE OF FIXTURE OR lTEM <br />H/l: — A/HANDLING UNITS <br />FORCED A�R SYSTEMS <br />FIEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICAT!ON AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS.TYPE OF VJORK WILL BE WMPLIED WITH WHETHER SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM[ TO GIVE AUTHORITY TO VIOLATE OR C4NCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED 6Y THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STAT� <br />CONTRACTORS LAW � 6.2 � RC,yV AND 236200 V'JAC. <br />25. zc�3 <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />