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RMIT APPLICATI N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 -FAX 425-257-8857 <br />SITE ADDRESS 4 czc <br />PARCEL TAX I.D. # <br />PERMIT # <br />pZlly �t4i��ev' AvtCven;t wv <br />I3oo?017 -O3Z <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />O__W��NER ADDRESS ZIP PHONE <br />�� `` �' (r <br />� E 1�ZtC d)lY (�r4�TnicyITV{.. iNer._-e WN/rj'£lLOI C360) bJ-S'ZiO.(0 <br />�J.ti'l' <br />TENAN NAME <br />CONTACT FOR PERMIT PHONE <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />PHONE CyLT <br />PROPOSED USE OF BUILDING <br />Building fl Mechanical <br />AodiOon <br />HEAT SOURCE <br />PERMIT Combination Plumbing <br />WORK <br />R Alteration <br />17 Electric <br />TYPE Demolition Sign <br />� <br />T1rE <br />B New <br />B Gas <br />Sprinkler <br />Repair/Maim. <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />old 94j-Ck5 t!_ <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />A/C - A/HANDLING UNITS <br />_ <br />BATHTUB <br />_FORCED <br />AIR SYSTEM:; <br />_ <br />LAVATOR'. ;WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK 8 DISPOSAL <br />_CLOTHES <br />DRYER <br />DISHWASHER <br />_RANGE <br />HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />_ <br />URINAL <br />FIREPLACE INSERT <br />_ <br />DRINKING FOUNTAIN <br />_GAS <br />FIREPLACE <br />FLOOR DRAIN <br />GP:i RANGE <br />_ <br />BACKFLOVJ PREVENTER <br />GA£ JIPING <br />_ <br />_ <br />SINK (SERVICE/BAFiMOP/ETC.) <br />EXHAUST FAN <br />OTHER <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXr.MINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANf' ORIDINAr;ES G. /cRNING THIS'YPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRAI. TING OF A PERMIT DOES NUT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TE;S PROPERTY TO PERF4RM THE WORK FOR WHICH APPLICATION IS MAC: AND I COMPLY WITH THE STATE <br />CO RAC 70RS,AW 18.27 V�A!l/D/. 8.200 WAC. <br />S' 2tu mer/Contras for/Authorized Agent Date <br />i' <br />DEBIT &CREDIT CARDS ARE NOT ACCEPTED <br />