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PL�MIT APPLICATIC:�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�b-ab-oy <br />SITE ADDRESS <br />`�Sl� �-ocuST <br />LEGA LOT N0. BLOCK <br />DESC. <br />TRACT <br />PARCEL TAX I.�. # <br />,q a-oo I - <br />PERMIT A <br />0 <br />�uere,-tt- ►}�,,�s��;[e R4„-►oe�r� 310� 'C��;�l /�u�, �ta2-ol ya5-3o3-iia.i <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />5av�� 3 �,.� l.A��us �r�s ".Snrr'�S Y�— <br />CONTRACTOR AD�RESS 21P <br />i�P�Tr't+c�vs�uG (�,,,,+on�,y 31U4 Colb•.� /}�,.� q{j�.Ol <br />PHONE <br />�1�.5 - rnY -1�5y3. <br />PROPOSED USE OF BUILDING <br />� <br />CONTAACT PRICE OF WORK <br />�] Building <br />PERMIT �__) Combination <br />TYPE D Demolition <br />U Sprinkler <br />Plumbing <br />Sign <br />CON7R. LICENSE A <br />Atltlition <br />eration <br />New <br />FepaidMaint. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK �ESCRIPTION Q A�� � �/ RQ rv.�d?� �Px �S � n G R�S �C�.n.V�C Q. <br />—l' <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <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 />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />� <br />N0. � TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />_j _ CLOTHES DRYER <br />� RANGE HOOD <br />J_ WATER HEATER <br />_ METAL FIREPLACElSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />� GAS PIPING <br />5 EXHAUSTFAN <br />OTHER <br />i HEREBY CERITIFY THAT I HAVE READ AN� EXANINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />?ROVISIONS OF IAWS AND ORIDINACES GOVERtJ!NG THIS TYPE OF WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT FAFESUh1E TO GIVE AUTHORITY TC VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPERN TO PEFFOFM THE WGRK FOR NJHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 182i RCW AND 296200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />