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SITE ADDRESS <br />�5'�`� <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />� « �, L <br />TENANn NAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERV'ICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />:tird <br />BLOCK <br />PARCEL TAX I.D. # <br />TRACT <br />.�s� 9 C�kk�� <br />�� — � <br />�t.z � )�i� -9/3, <br />CONTA:.T FQR PERMIT PH04E <br />� /y� ' ,�, 4.2� �al� zso <br />Jc.{l1 !{• S Qi"L. G� J���Lor C!i L niy- �', <br />x.2 <br />CONTRACTOR � � � / ` � A�DRESS �'l� � (, �.�. �J,. $y.O ZIP CONTR. LICENSE # <br />SL'N/PFSCW9C¢S 5�10 t• d � <br />�CiZS� � 481)� 5eh�oSSo2�3aN' <br />PHOIIE �9C �I ��L, K � <br />PROPOSED USE OF BUILDING � BUildi�g � Mechanical � Atldilion HEAT SOURCE <br />PER�11T � COmbinali0n PlUmbing WORK R Alleration � Elettnc <br />7YPE Demolili�n Sign TYPE D New Gas <br />Sprinkler �� RepaidMaint. Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 1�05 <br />WORK �ESCRIPTION ��I a� ` J 2��� ' I'�y r �� cL,� <br />� n �� � <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER 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 PREVENTEP. <br />SINK (SERVIGE/B RlMOP/ETC.) <br />OTHER Wnl�r + <br />MECHANICAL <br />NO. I TYFE OF FIXTURE OR ITEM <br />A/C — AlHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATEPS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLAC� <br />GAS R,4NGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATIGN AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COAIPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOftIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUL.ITING CONSTRUCTIOPI OR THE PERFORA1ANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THF. STATE <br />CONTRACTORS LAW 18.27 R�W AND 296200 WAC. _ <br />T� 1 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />