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PERMIT APPLICATItON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 42�-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS Merr�`� C.f�e�c.Coarc�er�1 ��v 1 PARCEL TAX I.D.# PERMIT <br /> 5-11 O�'` W. �vectil�Ww ,Q �� ' OOS <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. \� <br /> OWNER ADDRESS ZIP PHONE <br /> �le(=Pre.y 3�s1, s�x �o�. �� w. �„Q�v� wn '�k,�3 �zs yo�• izvs <br /> TENANT NA E CONTACT FOR PERMIT PHONE <br /> ��`'°�y ��s�. I 5�e�c�y �vs�. y2S-'-lol-tZ�ts <br /> CONTRACTOR qDDRESS ZIP CONTR.LICENSE# <br /> Yo�,t- C-w.n4c-� Cc.cpe�,..�c,� 292g Car��. w..,.� Ly�.....,.oZ 9�o3c� Yo.,<<c �o4yr�c, <br /> PHONE <br /> �17.'S' 7 c{�{ 'c(5S-1 <br /> PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOURCE <br /> 1`�c c4�-�v� lknn.C' PERMIT Combination R{.1 Plumbing WORK Alteralion Q Electric <br /> TYPe Demolition �J Sign TYPE New �j Gas <br /> C������`r' Q L 1� � Sprinkler Repair;Maint. U Other <br /> CONTRACT PRICE OF WORK 4-�'�� CIIY OF EVERETf LOCAL SALES TAX CODE IS 3705 <br /> WORK DESCRIPTION • <br /> co..e}n.�+;b., orc de�.4s. <br /> PLUMBING MECHANICAL <br /> NG. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> i WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URIN.4L FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DR,41N GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AN�CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVEP,NING THIS TYPE OF WORK WILL BE COMP�IED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NUT 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 BY THE <br /> OWNER OF TH�S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON7RACT0 18. CW AND 29fi.200 WAC. <br /> �s'O.� <br /> Signa u OwneNContrac or/Authorized Agent Date � <br /> � DEBIT& CREDIT CARDS ARE NOT ACCEPTED Z <br />