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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-6810 — FAX 425-257-8857 <br />SITE ADDRESS <br />2�/ ''D�u« <br />LEGA LOT NO. BLOCK <br />DESC. <br />OWNER <br />QO NN� i�/lJil/ % 2I'� <br />TENANT NAME <br />CONTRACTOR <br />.5�.�-, � 7» �o N s7n.uc�7p ,✓ <br />USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />PARCEL TAX I.D. 8 I P�pM� j� hl�� <br />V �� v <br />TRACT <br />ADDRESS ZIP PMONE <br />`/J� u r-,� L EvE/LF�7. �.�,�1. 9 P Zo i��CL�}'2S� I�C b <br />ICONTACT NAME P ONE <br />AODRESS <br />io�z7- ZiJ•- arr, sC <br />Building� f'� Mechanica� <br />PERMIT Combination �k-:(( Plumbing <br />TVPE Demo�ition �J Sign <br />Sprinkler (a ot heeds) <br />WORK DESCRIPTION <br />/iC�'�L/%Ci�"� W�f(z1� �f��9%F� <br />NO. I TYPE OF FI7CTURE OR �TEM <br />_ WATER CLOSET (TOILET) <br />_ BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />_ LAUNDRYTRAY <br />CLOTHES WASHER <br />URIN,4L <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />SINK (SERVICE/8AR/MOP/ETC.) <br />OTHER <br />ZIP CONTR. LICENSE N I <br />9Kzo� �' - if�s � i I <br />i <br />Addition HEATSOURCE <br />)RK Alteretion Electric <br />PE New Ges <br />RepeirRdaint. Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />NO. I TYPE OF FIXTURE OR REM <br />� <br />� <br />� <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WA�fER HEATER �F (.Ec�"N�L � <br />METAL FIREPLACE/STOVE <br />FIREPLACE IN5ERT <br />GAS FIREPLACE <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 OE TqUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHEq SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT'RESUME TO GIVE AUTHORITY TO VIOLATE 09 CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW FEGUTATING CONSTRUCTION OH THE PERFORMANCE OF CONSTRUC��ION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO P RFORM THE WORK FOR WHICH APPLICATION IS MADE AD1D I COMPLY WITH THE STATE <br />CONTR S LA 8.27 RCW �D 96 OU WAC. <br />�c�����/� _����o� <br />