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P��tMIT APPLICATIO�� <br />CITY OF EVERETT PERMiT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />������ tY��r,roE�. ���er�ue, <br />LEGAL LOT NO. BLOCK <br />DESC. 11 , �a t }3 I9 <br />171�1�1e�� <br />TENANTNAME <br />PHONE <br />S�r,� �- y � tza.�bv�n <br />PROPOSED USE OF BUILDING <br />PoncH Cov�Q�D <br />CONTRACT PRICE OF WORK <br />PARCEL TAX I.D. # <br />��15�- �3�C-41I-OO <br />TRACT <br />'�r�e%�urst -D�v�s�or� C- <br />x <br />%—� <br />d53� \�t\or�roe Ave �1�a03 ��I'dS>3�1�-�1590 <br />CONTACT FOR PERMIT <br />Sl�erul__l�a-� <br />ADDRESS <br />Building Mechanical <br />PERMIT � Comhination R Plumbing <br />TYPE Demalition � Sign <br />Sprinkler <br />7 <br />PHONE <br />(ydS% 3�$-4590 <br />ZIP CONTR. LICENSE p <br />�Additian <br />Alleratlon <br />New <br />RepalrlMaint. <br />HEATSOURCE <br />D ElecVic <br />�� Gas <br />U Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />E.,,,< �.; �;c�:� �� o� 1 tl'�" x��b' �Nu� -ro �� �ss� �D2 c,o2Por�T) <br />N0. 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 PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C—AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />P.ANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL � <br />PROVISIONS OF LAWS AND ORIDINFCES GOVERNING THIS TYPE OF'�NORK INILL 8E COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VICLATc OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AN AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOR�t THE WORK FOR IVHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRFCTORS LA1V 7827 RCW AND 296.�00 WAC. <br />��� —0� <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />