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PtRMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS " � • <br />2�}C��� V l��� �► �� �i ll� cJo <br />LEGA LOT NO. BLOCK TRACT <br />ti� <br />TENANT NAME <br />�c�-f�vL c� �nm�" <br />CONTRACTOR _ ��CO <br />�,�= <br />PHONE��� � <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF <br />PARCEL TAX I.D. # <br />2 L�� V / ��j�l'i <br />CONTACT FOR NERMIT <br />C'�r,�fi4- �j� <br />ADORESS <br />`��j� /�k"�YhC�y /l (� <br />PERMIT <br />TYPE <br />38.� <br />PERMIT # <br />�Z9�` M�3 <br />� z �.�, 9� 1 �zs ZS2 -�a�� <br />PHONE <br />r ll� yf�✓- 2d lo ZQZ �i7� <br />21P CONTR. LICENaE # <br />96'�q � �u �.rf�.zr-n 9�0 � <br />�Building � Mechanical I � Addition I HEA7 SOURCE <br />Combinalion Plumbing WORK Alteration �Electnc <br />Demolition Sign TYPE New Gas <br />Sprinkler RepaidMaint. Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION �`1 �_/.� � I .� �� n/� ` <br />��C / C7- /' <br />���� �i/,���� fz� (�/� r-l��ri <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOW ER <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 (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />� <br />�Urn�c�e--� ���� <br />NO.. I TYPE OF FIXTURE OR ITEM <br />A/C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES URYER <br />R4NGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <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 KNON/ THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHcR SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERM1IIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAN' REGUTATING CONSTRUCTION OR THE PERFORM11ANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PERFORM'fHE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAtM18.27 RCW AND 296200 WAC. <br />`i���� ���:-�%'l?o �7?�c id�, �� �c. ,ti,� rci7/p3 <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />