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( <br />P�RMIT APPLICATION <br />CITY OF EVERETT PERMlT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS F�r-� W�=> •`tQJ2o �-� . PARCEL TAX I.D. # PERMIT # <br />ozo � ntio�-n.�.,<. v� . Bo3G -03� <br />LEGA LOTNO. BLOCK TRACT <br />DESC. <br />OWNER ADDRESS 21P PHONFCy2 �� _� i3_ <br />` ���1 c�'�l �1 �-V ��..�� 10"ZoS t-�or�Znt�,'L rZ� t�t�R , �ig2CJ� , <br />TENANTNAME � CONTACTFORPERMIT PHONE <br />�V Q (� � +�.. <br />CONTRACTOR <br />QI.�V��� <br />PHONE � <br />PROPOSED USE OF BUILDING <br />S F%Z <br />CONTRACT PRICE OF WORK <br />ADDRESS <br />� <br />Building DMechanical <br />PeRMIT B Combination B Plumbing <br />TYPE g Demoiition Sign <br />Sprinkler <br />ZIP <br />CONTR. LICENSE # <br />Addition <br />WORK Aiteration <br />7YPE New <br />RepairlMaint. <br />HEATSOURCE <br />ElecUic <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SAI.ES TAX CODE IS 3105 <br />WORK DESCRIPTION Z� �� ` V� ,Q L_� L. ;.�, �� �` � p T— Gp �� POS �`r I O N <br />✓ 1� 1 Nc- ��` � ��� 0 2��_ 2 c�c. � �v ��-(-1 N� w e c� �^-�'tlf �os ITl U �J <br />=.�;li/`l��L.�_.SL. �iG�-ftZT�f��-.�. <br />NO. 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 FIXNRE OR ITEM <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 R,4NGE <br />GAS PIPING <br />FXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE RF11D AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING TFIIS.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 VIOIATE 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 CF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACjORS lAW 18.27 RCW AND 296.200 WAC. - <br />� �, < 7 <br />�� �� _ i'C � , �_C � . �z � ��. . <br />l / ti � c_ .'. { e <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED Bd �/'- U 3 1 <br />