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P�}2MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32Q0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />a � ��>>� Qii Av�tiW <br />LEGAL LOT NO. BLOCK <br />oesc. I tl.a 44 I <br />OWNER <br />l�ennel�� �111arn�e ��►riS�'et <br />TENANTNAME <br />' U 4cah� <br />CONIT�RA�CTOR �`Oh�UC����l <br />,a, �, <br />PHONE <br />zcr,_Gci_ o4�,Sr <br />PROPOSED USE OF BUILDING <br />1Vew S � � <br />CONTRACT PRICE OF WORK ti( <br />� <br />WORK DESCRIPTION <br />(�uilc� hew <br />SihS�i <br />U <br />NO. I TYPE OF FIXTURE OR ITEM <br />PARCEL TAX I.D. # <br />���4nt5 �4I <br />TRACT y <br />CG A i'10� <br />�ao� �4fih. P�. <br />CONTACT FOR PERMIT <br />ADDRESS <br />�ao� �u�• �c. ,�E <br />vl�avacville, �JQ 9&a�� <br />Buil�ing D Mechanical <br />PERMI7 Combination U Plumbing <br />7YPE Demolition U Sign <br />Sprinkler <br />� <br />qn,��y U(csrc�ehce <br />WATER CLOSET (TOILET) <br />BATHTUB C��+L�-;icu�C Cr':,� <br />LAVATORY (WASH BA:iIN) � <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />C�OTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOGR ORAIN <br />BACKFLOW PREVENTER <br />SINK (SEP.VICE/BAR/MOP/ETC.) <br />OTHER _ <br />Pw �o�-�i <br /># <br />ZIP CONTR. LICENSE # <br />kmconi���amoa <br />Addition <br />WORK Alleration <br />TYPE New <br />Repair/Maint. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DFYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN !1),' <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND E)(AAIINED THIS APPLICATICN AND KNOW THE SPME TO 9E TRUE AND CORRECT. ALL <br />PROVISIONS OF U1WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COM°LIED WITH WHETHER SPECIFIED HEREIN UR <br />NOT. THE GRANTING OF A PERMIT �OES NOT PRESUWE TO GIVE AUTHORITY TO VIOWTc OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUWTING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORA4 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLI' WITH TIiE STATE <br />CONTRACTC1RS LAW 18.27 RCW ENC�296.200 WhC. <br />f / 1 i / <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED `I1 <br />CCU <br />n ctU <br />