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SITE ADDRESS <br />Ck�C� 12 er <br />LEGAL LOT NO. <br />�ESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-2F7-8857 <br />1 c° � c <br />BLOCK <br />TRACT <br />PARCEL TNC I.D. # <br />�i-��/--a5 <br />`�// -��� <br />�PERMIT # <br />_(2n�;�, �- <br />��nc�blu;tit�sh �� �rcti241'1u�,wl-f 3��'�C� �.cr�ll-e�f�.cc �-1�Zcl <br />TENANTNAME �, � CONTACTFORPERMIT PNONE <br />CONTRACTOR � � <br />��� \�.� l 11 :.�,-L� �„���� ��?L'�l�`� <br />PHONE <br />PROPOSED USE OF BUILDING <br />���1'1\�✓1 � <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />Le�-k 0 ��i _l. <br />�tC��c.l:� - <br />e � ��v Y Q� l��CIV 1'� �. <br />ADDRESS <br />Si�ci`', �< <�� �� �� � <br />Building Mechanical <br />aERM17 Combinalion R Plumb�ng <br />7YPE Demolition � Sign <br />prinkler <br />ZIP <br />? cG, 3:5� -Y��i��l <br />CONTR.UCENSEp <br />���tc �� ����zNq <br />�,� <�'I j(� <br />�ditian <br />� cration <br />New <br />RepairlAfain�. <br />HEATSOURCE <br />�Eleclnc <br />Gas <br />Othcr <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />C7�t'1'���olh—Ci`��`r"X1S�Ihc� }j���'�� . 'A��'l�__c1j� �Q .��J(iYI�CiNa <br />�; <br />NO. I NPE OF FI%TURE OR ITEM <br />WATER CLUSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />NO. I TMPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT ?UMP <br />UNIT HEATERS � <br />CLOTHES DRYER j��'. <br />RANGE HOOD <br />WATER HEATER � �i <br />METAL FIREPLACE/STOVE (� <br />FIREPLACE INSERT �.�,J' nf� • � <br />GASFIREPLACE �����V <br />GAS RANGE lI, � <br />GAS PIPING / <br />EXHAUST FAN <br />OTHER �� <br />I HEREBY CERf i IFV TH�T I HAVE READ AND EXAMINED THIS APPLICATION AN� KNOV� THE SAME TO BE TRUE AND CORRECT. ALl I <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COAIP�,IED WITH WHETHER SPECIFiED HEREIN OR I <br />NOT. THE GRANTING OF A PERAf1T DOES NOT PRESUM1fE TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV CTHER ' <br />iTATE OR LOC�L L1W REGUL.ITING CONSTRUCTIOY OR THE PERFORMANCE OF CONSTRUCTION. THAT I Ah1 AUTHORIZED �Y THE <br />(�\VNER OF THIS PROPERN TO PERFORh1 THE N'ORK FOR WHICH �1PPLICATION IS MADE �ND I COM1IPLY WITH THE SA�TE � <br />�.10�TRqCTORS LAW 19.27 RCW nND;.?6.�00 WAG � <br />: � �����"`� 1L�-� <br />%//��G�— <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />