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SITE ADORESS <br />'j(31 fJPr55uA ST. <br />LEGA LOT NO. <br />P�RMIT APPLICATIC�N �' ���-�r,11N1����� <br />1 �. <br />CITY OF EVERETT PERMIT SERVICE �- aUL 27 2009 ;i,/ <br />3200 CEDAR STREET, EVERETT, WA 98201 ... .'�_ �s �d � <br />425-257-8810 - FAX 425-257-8857 GITY �F EVERE I 1 .� <br />EnginoennRiPublle sarvin�s <br />BLOCK <br />PARCEL TAX I.D. # <br />�q375� 320 l o0 0 <br />TRACi <br />rcninii w � <br />5 9a�-��� <br />� <br />GGS ��ptvLT��S 'y13 � Nd55�A ST. 1� I ��-�� ��,p 9 E2e i <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />G� I RL�Di[�LoC.�Y I SFtc.w� B�uE� yeY� �23 I�Z� <br />CONTRACTOR Tv�.d,n� 170� 4 f� E� J� ,�, ZIP CONTR. LICENSE # <br />� �� T���D'� 3U QS <br />PHONE2ot�223 ��Z,Z <br />PROPOSED USE OF BUILDING <br />5���� ,f�1� ��13 <br />Building Mechanical <br />PERMIT � Combination Plumbing <br />TYPE Demolition ign <br />Sprinkler <br />n Addilion <br />I—� ei�ereUon <br />��'ew <br />LJ Repair/Maint. <br />HEATSOURCE <br />ElecMc <br />Gas <br />Other <br />CONTRACT PRICE OF WORK (OSOO �— I CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />WORK DESCRIPTION <br />(NSto,1,L Tu�o NoN� lLWw��.s�--��st� St(„JS <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SNOWER <br />KI fCHEN SINK & 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 — 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 FIREPIACF <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <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 WOP.K WILL BE COM1IPLIED WITH WFIETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TG GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAbV REGUWTING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TH4T I AM AUTHORIZED BY THc <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 7927 RCW AND 29fi200 WAC. l <br />�Z/ <br />g <br />8 CREDIT CARDS ARE NOT ACCEPTED <br />,, <br />z <br />