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SITE ADDRESS <br />� ��I-� <br />LEGA LCT NO. <br />DESC. '7� <br />� <br />I�ERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 n <br />IJGt�.S�/ -/% <br />i PARCEL TAX I.D. # I PERMIT � <br />). :���401 � o�•�l-oo�s-Ca l <br />BLOCK TRACT <br />��-� C' f.� 1:.:6C,cy. CJ�-1-.Z,� <br />A�Qa�(2.��n��R�.s��1,-.-�..� l�lU�ia-�a����S� �1Jo�9_Qqc�o:2- Was-��t3�17i8 <br />TEND,NT NAME CONTACT FOR PERMIT PHONE <br />. t-�-t n5 l-�SS l� �i a-S' "t"13 - t'f (� <br />�1 <br />' I-�c$Za�2.�N�J'�ls���l_� <br />F`HONF. <br />! PROPOSED USE OF BU�LOING <br />i S� ���� �- -a. - n �, PERMIT <br />,••�"'� TYPE <br />� <br />CON7RACT PRICE OF WORK <br />ADDRESS ZIP CONTR. LICENSE # <br />��03� -3 �(��eS� avo�k�9�-k�a��- IaOALCZr_�o�aL <br />Building �-Mechanical <br />Combination �-Plumbing <br />Demolition � Sign <br />Sprinkler <br />Addition HEATSOI:RCE <br />WORK Aiteralion Q Eiecuic <br />TYPE w �-Gas <br />Repa�•Ihiainl U Other <br />CI1Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION , - . <br />�Ol�c7t'lU-e..� l0^(�. � 'V,-Q-I'� 5.'e'M.tv�_� �'�� � <br />° ��j7� <br />NO. I TYFE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTU@ <br />LAVATORY (lh'.45H BASIN) <br />SHOWEP. <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRHIN <br />BACKFLOW PREVENTER <br />SINK (SERVICElBAR/A40P/ETC.) <br />CTHER <br />NO. I TYPE OF FIXTURE OR ITEM , <br />A/C - A/HANDLING UNITS <br />I FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES DRYER . <br />1 RANGE HGOD fh�2°° <br />1 WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />� CAS FIREPLACE <br />� GAS RANGE <br />� GAS PIPING <br />(o EXHAIIST FAN <br />i HEREBY CERITIFY THAT I NAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAA1E TO BE TRUc AND CORRECT. ALL <br />aROVISIONS OF L.r+WS AND ORICINACES GOVERNING THIS TYPE OF WORK WILL BE COIdPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERA7IT DOcS NOT PRESI�rvie TO GIVE AUTHORITY TO VIOLP.TE OR CANCEL THE PROVISION OF ANY OTHER <br />3TATE OR LOCAL LAW REGULATWG CONSTRUCTION OR THE PERFORM/�^!CE GF CONSTRUCTION. THAT I Aht AUTHORIZEQ BY' TH`c <br />OIVNE�R OF THIS PROPERTY TO PeRFORM THE 4VORK FOR bVHICH r"+PPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 290200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />