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8 -4 a� <br />SITE A�DRESS <br />Zo22 <br />LEG4L LOTNO. ' <br />DESC. 2,"( —Zfl <br />P�RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. # PERMIT;. <br />SUMMI'j' oo �j4324o9D27oD G (f�i0- > � <br />BLOCK TRACT <br />4oq CT• I.i lGo t.�s. AD p• <br />MIK� 'i�4'f Ln rL. <br />TENANTNAME <br />_-- <br />CONTRACTOR <br />o �..� N E%�. <br />PHONE <br />PROPOSED USE OF BUILDING <br />U� <br />CONTRACT PRICE OF WORK <br />Zo22 SUMMIT ,�V� `�820� <br />CONTACT FOR PERMIT <br />o W N ER-- <br />ADDRESS <br />Building D Mechanical <br />PERMIT Combination I, Plumbing <br />TYPE Demolition U Sign <br />Sprinkler <br />'r, ., , c���'1 nn <br />l l/��� d <br />WORKDESCRIPTION U'P_(A�D� ��C�ST ��'SG-M�T TO L�V ��C7� � WITN <br />oti� $hTH�Zoot-�. No gTtZ.VLT VR.A.t_ wo2.1c_. • <br />PHONE <br />ZOGt �'��19� S 62 � <br />ZIP CONTR. LICENSE p <br />(((��� Adtlilion 4EAT SOURCE <br />WORK � Alteration � Electric <br />NPE New Gas <br />RepaiuMainL Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />NO. I NPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLUOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/640PIETC.) <br />NO. I TYFE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAh11NED THIS APPUCATIO� AND KNOW THG SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK IVILL BE COhiPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. T. HE GRANTWG OP A PERh11T DOES NOT PRESUAIE TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUI.ATING CONSTRUCTION OR THE PERFORM11ANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF TH 5 PROPERTY TO PcRFORM THE \VORK FOR WHICH APPUCATION IS M11ADE AND I COMPLY WITH 7HE STATE <br />CONTR?CTOR'r AW, 18.f7 RClT ND 296.200 WAC. <br />VI�JI� `�hkYYl � Ih� 2`��bl� <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />