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F�RMIT API�LICATIvN <br />CITY OF EVERET7 PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 /; <br />425-257-8810 — FAX 425-257-8857 "( — � "v� <br />SITE ADDRESS PARCEL TAX I.�. 8 <br />�Gr�GI �'�L ��� Uo s6z_ o�o �o r o e <br />oesc`� `oT"o. I is%k �/ I�t�cEte /:i¢Rk,�hA Q� f��Rrt"� <br />�,c7 (.�.i.�(/.f��'. �'��jT��c�q c�(uPCK — (��Sl_Rw�� bK <br />TENANT NAME CONTACT FOR PERMIT <br />,9�u� �,�,�rnE K�t�Ne.�-� �ltr� <br />CONTqACTOR ADDRESS <br />�,�c��//� ��:T�7k-�-� r3��r�- ��.,� 3-�� ��! v�', <br />PHONE Y�S_ ��'7 � .3'��'3 <br />�� �,,2 Ly:�,,��ua� t��, 9�3� <br />PROPOSED USE OF BUILDING <br />/�s� Je�-�� . <br />Bwlding Mechanical <br />PERMIT � Combination � Plumbing <br />TYPE Demaiilion Sign <br />Sprinkler <br />CONTRACT PRICE OF WORK - i <br />J � , <br />WORK DESCRIPTION <br />�,('/1„-r^�il-�-�� ' /.. l%�- �_ <br />� / <br />PLUMBING <br />NO. I TYPE OF FIXTURE Ofl ITCM <br />WATER CLOSET <br />BATHTUfi <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKIMG FOUNTAIN <br />FL�OR DRA'!V <br />BACKFLOW PREVENTER <br />SINK (SERVICE;BAR/MOP/ETC,) <br />OTHER _. <br />G <br />T�eA�!`/ —�$/,E, Gt.t3-o <br />9�x� �r�r.�szG%�7 <br />PHQNE <br />y.�; -�7z -33i3 <br />ZIP CONYR. LICENSE # <br />cK�arKh' - /�vD4� <br />Adtlition <br />WORK Alteration <br />TYPE Ne.v <br />RepairiA9aint. <br />HEATSOURCE <br />Electric <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTH[S DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREP�4CE INSERT <br />GFS PIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER __ _ <br />I HEREBY CERITIFY THAT I HAVF REA� AND EXAh11YED THIS APPLICATION P.ND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORiDINACES GOVERNING THIS NPE OF WORK WILL BE CO�dPLiED WITH WHEiHER SPEGrIED HEREIN OR <br />iJQT. THE GRANTING OF A PEi7MlT DOES NOT PRESUME TO 61VE AUTHORIN TQ VIOLATE OR CANCEL THE PFOVISION OF .4NY OTHER <br />STATE OR LOCAL L4W REGULATING CONSTRUCTION OR THE PERFOR�dANCE OF CONSTRUCTION. THFT I AI.1 AUTHOFIZEG BY THE <br />Ol^JNER OF THIS PROPERN TO PERFORM THE WORK FOR lh'HICH APPLICATICN �S MADE AND I CCM11PLY WITH THE STATE <br />CO�JTflACTOR LAW 1827 CN A D .�.00 WAC <br />:-�,��, �'�i /��:��, �. � «� �3 , <br />„���,.,�.,. �� <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />