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i <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 />// � 3 -05 <br />SITE ADDRESS PARCEL TAX I.D. p P /RMIT �e /J <br />.�7ZZ i^��l�Ct � /�./i I�vr��.��- ,�1.. Slb /Q <br />L[GAL LOTNO. BLOCK TRACT <br />DESC. <br />OVYNER ADORESS ZIP PHONE <br />,l�..r��1�,� I�,����1.,.�� ic� „�. 3nC.�iW �14r.�ncV�,�,.. �7.. �I,'�2C1 �tit��3i�-j5; <br />TENANr NAME CONTACT FOR PERMIT PHONE <br />�-C�aC �:�/cS�IPJa/u <br />CONTRACTOR <br />�J: �i.� ,-, s�r.1r� <br />PHONE! � z � \ � �.'i I - <br />\ 1 <br />PROPOSED USE OF BUILDING <br />ADDRESS ZIP CONTR.LICENSEI <br />�i: (�'...��r.1id.'. %fQ'L l.5C�1� %N< Nti _ ' <br />� , � f `l.j��,s-' w�_�i�.sFi3�hF <br />��..l,z,�., �� <br />C:�CC <br />Building MeGianiwl <br />PERMIT Combinalion Plum6ing <br />7YPE � DetUoli�lQ_n Sign <br />CONTRACT PRICE OF WORK f� �— �JO <br />�L-L� - <br />WORK �ESCRIPTION /� <br />_' , >�^��o�rp . �—( �i:-f' <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOS[T <br />UATfiTUD <br />L.AVATORY�WASH �ASIN) <br />SHOWC-R <br />KITCFIEN SINK 8 DISPOSAL <br />DISIiWnSIIER <br />I.iIUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREV[NTER <br />SINK (SERVICElBAR/MOPIETC.) <br />OTHER <br />Addtlion <br />Alleralion <br />New <br />Repaii/Maint. <br />HEATSOURCE <br />�Elednc <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES T/J( CODE IS 7105 <br />5;.. , � �i<< sy : �� ,.. <br />� <br />MECHAI <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C-AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />I1EAT PUMP <br />UNIT HEATERS <br />CLOTHES DRY[R <br />RANGEHOOD <br />WATER HEATER <br />METAL FlREPLACE/STOVE <br />FIRC-PIACE �NSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I I�IERE�Y CHRITIFY THAT I HAVE REAO AND [RAAfINED THIS APPLICAIION AND HNOW THE S�ME TO �E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAVVS AND ORIDINACES COVERNING THIS TYPE OF NqRK �VILL BE COMPLIED NATH WH[THER SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A P[RM111T DOES NOT PR[SUME TO GNE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STAT[ OR LOC�L LAW R[GUL�TING CONSIRUCTION OR THE PERFORMANC[ OF CONSTRUCTION. THAT I Atd �UTHORIZED BY THE <br />OWNER OF 1HIS PROPGRIY TO P6RFORM THE NC7RK FOR bNi.CH APPLICATION IS A9ADE AND I COIdPLY IMTH THG STATE <br />CONTfiNCTORSI.A\V 1827 RCW �1ND 29G200 WAC. <br />-�_ _ = ����-- ; �f �/�C's� <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED '�� <br />