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� PERMIT APPLICA110N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, �NA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />Z�-U 6 S�•-mm � i /�Jl <br />LEGA LOT NO, BLOCK <br />TRACT <br />PARCEL TAX I.D. # <br />PERMIT # <br />ui.x� <br />Ru��sr�� \�eT�� � 2zo6 5.�,-•,,�•�r mx:- �u�u--ri' �iitk,l 4t� 31�- nLs 8 <br />TENANT NAME CONTACT FOR PERM�T PHO;IE <br />�a� _-- c,�FF /4�/i;r�„ Hzs^3y6-5'3/� <br />Sl� RIL�Son� CJrJS'�ituCi�p„1 <br />PHONE <br />uz5-339-b�F3 <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />Cr <br />CONTRACT PRICE OF WORK � 1 p <br />ADDRESS 21P CONTR.LICENSEN <br />.3125 ��JL��Y Nio-' ,sre: C'� �b'Lo I �%jiMLCCr ooyKy <br />Building <br />Combination <br />Demolilion <br />Sprinkler <br />RMechanical <br />Plumbing <br />D s�9� <br />Addition <br />WORK Alleration <br />TYPE New <br />RepaidMaint. <br />HEATSOURCE <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION � <br />�l�vJ 2�t'z2`t� V�T�.cµE� GA2A.GE <br />NO. I TYPE OF FIXTURE OR ITEM ^%/ ,� I NO.. I TYPE OF FIXTURE OR ITEM /✓/�-- <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLUTHES WASHER <br />URINAL <br />DRINKING FOUNTAI <br />FLOOR DRAIN <br />BACKFLOW P ENTER <br />SINK (SERV E/BARIMOP/E� <br />NC - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />R4NGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/ST <br />FIREPLACE INSER <br />GAS FIREPLAC <br />GAS RANG <br />GAS PIPI <br />EXHA FAN <br />I HEREBY CERITIFY THAT I HAVE RE�D AND EW+MINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE Gf'.ANTING (1F A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATiNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFORh7 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 7�7J2CW AND 29CL200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />