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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />.B307-tl-39 <br />SITE ADDRESS PARCEL TAX I.D. # ERMIT # <br />fi�� H�� S � -c G03�'32C�oI DZ/y0 002- 1 <br />LEGAL LO' NO. BLOCK TRACT <br />DESC. 7 1_ I -T�0t1'Ll.�t-1 l-1'6LC.S n d , rL0 <br />OWNER ADDRESS ZIP PHONE <br />`J) n-v---qgz3 tevc-suti 176U-3 4Z - 5T-Z436 <br />TENANT NAME 1I CONTACT FOR PERMIT PHONE <br />CONTRACTOR /1 /' AADDD,R,E/S^S / ZIP CONTR. LICENSE # <br />PHONE J- iljl?'5 rd C•C.'C-L /U/�/ <br />PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOLACE <br />PERMIT Combination Ilf�y�t( Plumbing WORK Q_ Alteration Q Electr. . <br />y�� 1 ' TYPE Demolition lJ Sign TYPECNew Lj Gas <br />r Y up �r '"L� Sprinkler v Repair/Maint. Li Other <br />CONTRACT PRICE JF WORK /,/� zi� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION I L`> 4 _per <br />n(lilf o;✓ ,vow /%JUL%/-,�° <br />PLUMBING <br />NO. TYPE OF FIXTURE OR r.EM <br />MECHANICAL <br />NO. 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 />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />A/C-A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR'AANCE 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 THE STATE <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />1/2 <br />