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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98207 <br />425-25?-8810 — FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. fl <br />Scc7 �Ncs,— ✓c•w' ��n���� oo�oss0000 Sso 0 <br />LEGAL LOTNO. BLOCK TRACT l <br />DESC. S S 0 0 O D- 0 \/F_ I 1,J /� R� S Y I� Z <br />OWNER ADDRESS <br />MAiuCL�n� I-l�"s5t,.� Sc�� 7 w�s; ���� 1�n.�� <br />TENANTNAME CONTACTNAME <br />—SA-'r�— �Jnso:v iLtia�o � <br />LON7RACTOR ADDRE55 <br />)=�IJ�Si-1 Li�<'i Lcr9i.� irC- 6t��) 72•..�o STNc <br />PHONE ��G'1���(S J � �.t-�.:- <br />�%�: l o j <br />PERMIT !I <br />�;-xr � � - � �= <br />'IL'S• 752' (7Y7 <br />PHONE <br />d?s-?y�/_ �/siC <br />ZIP CONTR. LICENSE I <br />y�?[�O /-//�� SCc `/�C TL <br />PROPOSEDUSE�FBUILDING Building f.hMechanical I fiAddNion HEATSWRCE <br />PERMIT Combinalion a' Plumbing WORK �_� Alteration G Eleclnc <br />S h Jz- n'PE Demoli�ion LJ Sign TYPE �t New �Q Gas <br />Sprinkler ,I?Q RapeidMeint. �� Olher <br />CONTRACT PRICE OF WORK � �[� ��� ._ CRV OF EVERETT LOCAL SALES TAX CODE 151105 <br />WORK DESCRIPTION <br />�Zt;^'�o��L Y IZIf�Aci SCr�f C.i%+c.J, t,J4gT,; L�iJrS w� f'c�(S7��G <br />'-=� <br />)ZC ('�A c i F+J . ti� 1 TL2. TA.,/,C <br />1�E1�C4Li` .S.�.Hi' �AL1i- LJ9Tt•Z LiNe.i l.'/ Cc^i�f'i;rl .I <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAI <br />DRINKING FOUNTAIN <br />F�IOOR DR�IN <br />BACKFLOW PREVENI'ER <br />SINK (SERVICE/BARIM�'1P/ETC.) <br />NO. � TYPE OF FIXTURE OR REM <br />NC -NHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRVER <br />RAMGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPV�CE INSERT <br />GAS FIREPLACE <br />GASFANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I MEREBY CERITIFV THAi I HAVE READ AND EXAMINED THIS APPLICA710N �ND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS �ND ORIUINACES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIEU WITH WHE7 HER SPECIFIEO HEREIN OR <br />NOT. THE GR�NTING OF � PERMI7 DOES NO7 PRESUME 10 GIVE AU7HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />Si�TE OR LOCAL LAW REGULATING CONSTRUG710N Of2 THE PERFORMANCE OF CONSTRUG110N. TMAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO PERFORM THE WORK POR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS I.AW 1827 RCW ANU 29G200 WAC. <br />l .: i _� .' ? � i �i "�� `t <br />