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SITE <br />��' PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />� 425-257-8810 - FAX 425-257-8857 <br />:, ;oy � i� �S 7c�cio <br />tES PARCEL TAX I.D. # <br />�����'��C'(,�� ( ���l.L� ' �l, � %.t�, �> �-�t Jir,�, <br />� � `�)"c7CY't" < <- <br />LOT NO. 9LOCK TRACT <br />�� <br />TENANT NAME � ��� � C NTACT FOR PERMIT <br />�;����VJc,�i �%'G��7_ ��'l�li��� � <br />CONTRACTOR /—% � �� <��J ,•M� �(J� ADDRESS ��CG �� <br />/- J !r Svi�' � <br />PHONE`i S S�./5���> � - �C ���� <br />f'ROPOSEO USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />PERMIT k <br />Z..S -Z� X�' %�t: %S <br />PHONE <br />r,�� ��.� � �S� �lo�- %�yS <br />17��. �� N 21P CONTR. LICENSE N <br />. l�.�;r;c yf'O�/% };rrYcTc>Sf <br />Butlding Mechanical <br />PERMIT Comoina�ion Plumbmg <br />TYPE Demoldion Sign <br />Spnnkler <br />Atldition <br />WORK Alteration <br />TYPE New <br />Repair/Maint. <br />HEATSOURCE <br />n ElecMc <br />KGas <br />LJ Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION1�7� ���"/��� �j�; � �-� �%%('/V �/I [l l/ �Ct' Tn'1 <br />j., ����,� •�f--�M� rcu� r�-e�� �i�o� �� �! <br />N0. I TYPE OF FI%TURE OR ITEM <br />WATER CLOSET <br />BATHTU6 <br />LAVATORY (WASH BASIN) <br />SIiOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHW�SHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING fOUNTAIN <br />FLOOR DRAIN <br />6ACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOPIETC.) <br />OTHER <br />f'( d—UrL�G%J <br />NO. I TYPE OF FIXTl1RE OR ITEM <br />NC - AIHANDLING UNITS <br />_ FORCED AIR SYSTEMS D <br />_ HEAT PUMP n <br />_ UNIT HEATERS � ��I \\\ <br />=CLOIHES DRYER � � <br />RANGEHOOD <br />WATER HEATFR <br />_ METAL FIREPLACE/STOVE ,� <br />FIREPLACE INSERT <br />GAS FIP.EPLACE <br />GAS Rf NGE <br />GAS PIf-WG <br />EXHAUSTFAN <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMMED THIS APPLICATION AND KNOW THE SAME TO 8[ TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYP[ OF WORK WII.L 6E COMPLIED WITH VJIIETHER SPECIFIED HEREIN OR <br />NOT. TH[ GfL1NTING OF A PERA�IT DOES NOT PRESUME TO GNE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />ST�7E OR LOCAL LAW REGULATWG CONSTRUCTION OR THE PERPORh1ANCF OP CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OVJNER OF THIS PROP[RTY TO PERFORh1 THE WORK FOR VNiICH APPLIC�TION IS MADE AND I COMPLY NATH THE STATE <br />CONTRACTORS LAW 18�27TtCW.bND-29G200 WAC. <br />-- �-� - y-i�� <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� <br />