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i <br />r <br />PERMIT APPLICATION <br />I CITY OF EVEI2ETT PERMIT SERVICES <br />i 3200 CEDAR STREET, EVERETf, WA 98201 <br />' 425-257-8810 - FAX 425-257-8857 <br />ISITE ADDRESS <br />�1311 � <br />�� LEGAL LOT NO. <br />i DESC. Ss`r' °"t �b <br />- �� <br />I CzreS � Kei <br />I TENAHT <br />Ncne <br />, ---- <br />boo U-co <br />Pe A r�� <br />. CONTRALTOR p�N��` <br />?HONE AI n hP <br />pARCEL TAX I.D. # <br />00 ` 19�o OOU 0:�� o0 <br />TRACT <br />A�DRESS ZIP <br />1131! W Ibbe�son Dr. � L-v q$dob' <br />I CONTACT FOR PERMIT <br />PROPOSED I15E OF BUILDING I pERM1T <br />TYPE <br />DetK <br />CONTRACT PRICE OF WORK 4n2S <br />ADDRESS <br />tiwiamg <br />Combinalion PWmbing <br />Demolition Sign <br />Sprinkler <br />ZIP <br />tt <br />Cv�r) 3�rr a�l� <br />PHONE <br />CONTR.LICcNSE# <br />WORK Altention <br />TYPE New <br />RepaidMaini. <br />HEATSOURCE <br />Eleclnc <br />Gas <br />Other <br />CIfY OF EVEREIT LOCAL 5/u.ts iw. ��+v= �� -•�• <br />I 1., r <br />WORKDESCRIPTION -r��� auu�(� and rep�nce G�L'Gk y Z�(� S.`� <br />NO. I T1'PE OF FIXTURE OR ITEM <br />� _ WP.TER CLOSET <br />I BATHTUB <br />�I _ LAVATORY (WASH BASIN) <br />i SHOWER <br />� KITCHEN SINK & DISPOSAL <br />' DISHWASHER <br />LAUNDRY TRAY <br />� CLOTHES WASHER <br />URINAL <br />� � DRWKING FOUNTAIN <br />FLOOR ORAIN <br />� BnCKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOPoETC J <br />OTHER_ __ <br />NO. I T1'PE OF FIXTURE OR ITEM <br />AIC - AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLAC[ISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTf-AN <br />OTHER_ <br />I <br />I HEREBY CERITIFY THAT 1 HAVE RF1�D AND EXAMINED THIS APPLICATION AND KNOW THE SAPAE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PftESUME TO GIVE AUTHORIN TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br />STA7E OR LOCAL LAW REGULATING CONSTRUCTION OR 7HE PERFORMANCE OF CONSTRUCTION. THAT � AM AUTHORIZE� BY THE <br />OWNFR OF TH�S PROPERTV TO PERFOKM THE WORK FOR WF�ICH APPLICATION IS AMDE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW �B.Z1 RCW AND 29fi200 WAC. <br />r� �r -� - ' � <br />,uthonzed Agent Date � <br />L <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED __ <br />n <br />u <br />