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'� ERMIT APPLICAT�JN <br />CITY OF EVERETT PERMIT SERVICES <br />32C0 CEDAR STPEET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. # <br />���.,Z�i �r� /�'.��, C��/, S"3 Y� -,x CiCf�'O .S� � �Uo -C;� <br />LEGA LOT NO. BLOCK TRACT � <br />❑FSC_ U I �<�� .�L � .j �I �—C�� <br />PERMIT H <br />�'3ii-vo� <br />.... �.�., •--- �--- y 2..� - 1 3 z-6 z?c, <br />�/��,,,�r,�c /% �c rJ` �%tal, 1,,,.��_ 3.;+-�J^ —!c�/ //'C. S,� f��/UUe.�c.�/�. <br />TENANT NAME CONTACT NAME PHONE <br />�r,3-iM e. _ S� �. �`/ /�c,u�R,Jc <br />CONTRACTOR ADDRCSS ZIP CONTR. LICENSE H <br />PHONE <br />:�/�v"� �- <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />Building D Mechanical <br />PERMIT � Combination u Plumbing <br />TYPE Demolition U Sign <br />Sprinkler <br />WORK DESCRIPTION ��S (L- � f ��� <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />6ATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNGRY "i RA'! <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARJMOP/ETC.) <br />OTHER <br />W L'N(>e.SOy�F,s/`1 C- <br />Addition HEA150UACE <br />Alteration Eler.tric <br />New � Gzs <br />RepaiNMainL I O�her <br />C�TY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />NO. I TYFE OF FIXTURE OR ITEM <br />Y <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 FANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEFEBY CERITIFY THAT I HAVE fiEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME 7'O BE TRUE AND CORRECT. ALL <br />PROVISIOMS OF LAWS AND ORIUINACES GOVERNING THIS TIPE OF WORK WILL BE COMPLIED WITli WHETHER SPECIFIED HEREIN OR <br />NC7. THE GRANTING OF A PER^,tIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRUVISION OF ANY OTHER <br />STATE OR IOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANC[ OF CO�STRUCTION. TNAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPFRTY TO PERFORM THE WORK FOR WHICH APPIICAI'ION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS �_AW 1827 RC1N AND 296..^.00 WAC. <br />/ <br />z� <br />� � I 'v <br />