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SITE ADDRESS <br />n��� <br />LEGAL LOT N0. <br />DESC. <br />PCRIViIT AI'PLICATIC�N <br />CITY OF EVERETT PERMIT SERi/ICES <br />3200 CEDP,R STREET, EVERETT, WA 98201 � ���D' j <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />TRACT <br />PARCEL TAX I.D. # P�F�M�7 t <br />I� ��7-Or3� <br />? � /iN / ��' ly��eL <br />NAME C/ON�TACT FOR PERMIT <br />�.rni/ /Y/�]�l /dF��J�/ <br />CONTRACTOR <br />C'�t(-�l�la�'%?� � LLc <br />PHONE �/�7.� � �� Z� 2-3 z� <br />iS <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK UESCRIPTION <br />i3Y��z ��5� S <br />yy��f - r.*%�.� . <br />Bu;lding Mechanical <br />PERMIT � Combination R Plumbing <br />TYPE Demolifian � Sign <br />Sprinkler <br />'�^-Z.�y - ��Y. <br />PHONE <br />Yz s'-335 t/ z3 y <br />r ZIP CONTR. LICENSE <br />a�D /�isN oliL��.�`1 p <br />Atldi6on HEATSOURCE <br />WORK � Alteration � Elec!ric <br />TYPE New Gas <br />RepairiMainL Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />/"Oo �"ih y — �/d� S' �u���.s�G <br />NO. � � YPE 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 DRAIN <br />BP.CKrLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />NO. i TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT P�MP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HFATER <br />ME?AL FIREPLACE/STOV� <br />FIREPIACE INSERT <br />GASrIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />i HEFE6Y rERITiPY THAT I HAVE READ ANO EXA�dINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORIDINACES GOVERNItJG THIS NPE OF WORK WILI. BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERM11IT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCGL THE PRGVISION OF ANY OTHER <br />STATE CR LOCAL LAW ftEGULl+TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I Ah1 AUTHORIZED BY THE <br />OVJNER OF THIS PROPERTY TO PERFGRAI THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY �VITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296Z00 WAC. <br />:�a.�/�''�1i% 7/s /�'3 <br />DE81T & CREDIT CARDS ARE NOT ACCEPTED <br />