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SITE ADDRESS � <br />tZ13 �15 <br />DESC. <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 />ree i <br />BLOCK � TRACT <br />v..ncn <br />,,11 G r r>.r o 1-�:-�,e�„�,2s AsSvc . <br />TENANTNAME <br />ErdN ��UC- n/PS• <br />CONTRACTOR . <br />��A�rse � 1 C�S���� <br />PNONE ( `�/— `f �� � SG <br />'I l O <br />PROPOSED USE OF BUILDING <br />PARCEL TAX I.D. # <br />PERMIT # <br />..__..___ Z1f' PNONE <br />�z� 3 a► S'si �e�r <br />CONTACT FOR PERMIT ' <br />� �ss�c� ���� ��-��z e t � <br />SQQUI�.PY�.��REIII� �O�I�U�QK 'YLLy}:1 21P <br />�i�•ell,u�4•`'i�Ul1 <br />/� <br />n Building D Mechanical <br />PERMI7 �] Combination U Plumbing <br />TYPE D�malitian U Sign <br />Sprinkler ` <br />CONTRACT PRICE OF WORK 1 5 C� (•, Z b <br />v <br />`��zo I MzSI-259-�� <br />PHONE <br />� �-S — �� O � .� b ��S <br />CONTR. LICENSE # <br />NANS�cSoHyg� <br />Addition <br />Alleration <br />New <br />RepaldMaint. <br />HEATSOURCE <br />Eleclric <br />Gas <br />Other <br />LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION � � c� � "� , J <br />QC'NV�O� �/i�IST1h/C �' ..�LV �' I���n^r�l.vwh l.J�vGiGw�� <br />�; 5�.e cT Fc� 20 ; �(Z�„�a ,'2 AS I.rece sscr-M .�,S i14-r 1 N' c.J— <br />cJ <br />v��:,� �,�,� �1 �.�5 � Nae o� � va-�nC s�S� •( S ee �M i�'►-c� sr-ecs <br />N0. I TYFE Of FIXTURE OR ITEM <br />WATER CLGSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRA�N <br />BACKFLOW PREVENTER <br />SINK (SERVICE/EAR/MOP/ETC.) <br />OTHER <br />NO. .I TYPE OF FIXTURE OR ITEM <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OfHER <br />I HEREBY CERI��;FY THAT I HAVE REA� AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />FROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPF. OF WORK WILL 9E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TG GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEk <br />STATE OR LGCAI LAW REGULAT!NG CONS'fRUCTION OR THE PE'2FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF,7HIS PROPERTY Jf0 PER�ORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />DEBlT & CREDIT CARDS ARE NOT ACCEPTED <br />