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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 />SITE ADDRESS <br />:�13I Nn��7/�J Si�ZGL-t <br />LEGAL LOTNO. BLOCK <br />DESC. Ir7`L (�' 1'.'Z <br />C� Pv��c.ene� ��e <br />TENANTNAME <br />R,c. �,.�. <br />CONTRACTOR <br />ACc fi�E P�Ltiiiloi.i Sys, i�Jc <br />PHONE <br />426-43'Z-A401 <br />PROPOSED USE OF BUILDING <br />PARCEL TAX I.D. # <br />vo�31`�13ZiSc�n <br />PERMIT # <br />TRACT <br />L-vE:�t1-iT DiJ- I-I P�a."f �F P��K l3Z D-00 <br />4vLi Novr ��e -5�� ia4 <br />CONTACT FOR PERMIT <br />;a�e�-, Ftor�rr <br />Cvc�e ii `t�zol <br />PHONE <br />�;z� 4��-�4ci <br />ADDRESS ZIP CONTR. LJCENSE 1' <br />•Z�ZZc� 1-�nPu; VAu14 LIu�45c�aD QCGFiP`��4�P1 <br />NnP�.G V'n��Ey, Wn ��803£� <br />Building Mechar.ical <br />PERMIT Combination � Plumbing <br />TYPE Demolition Sign <br />Sprinkler <br />CONTRACTPRICEOFWORK'C�^ �i�jp,QO <br />WORK DESCRIPTION <br />n�-v��i� �t c�� �r` ����;ti���cK ilin�s� <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASIi BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />IAUNDRY TR4Y <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />� <br />Addition <br />Alteration <br />New <br />RepairlMaint. <br />HEATSOURCE <br />Eleciric <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />MC — fVHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />_ RANGEHOOD <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 HEREBY CERITIFY THAT I HAVE READ AND C-XAM W ED TKIIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRE�T. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COAIPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. T11E GRAIJTING OF A PERAfIT DOES NOT PRESUA1E TO GIVE AUTHORIN 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 RY THE <br />OWNC-R OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />��c <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />'�Z <br />