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i -- <br />� SITE ADDRESS <br />,� f, Z�� �'' k <br />� LEGAIJ LOT N0. <br />UESC. � <br />�i OWNER <br />'J�� TENANT AME <br />PERMIT APPLICQ►TION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42ti-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. i1 <br />BLOCK I TRACT <br />O� W IOZO R� RMIT� <br />CONTRACTOR ��G.I �L ���� ae � ADDRESS <br />0 <br />PHONE <br />Q-2S• 2s�- <br />PROPOSED USE OF BUILDING <br />C-�. <br />CONTRACT <br />OF WORK <br />���(� fzUG�tr- <br />�j Building D Mechanical <br />PERMIT �j Combination U Plumbing <br />TYPE Demolilion U Sian <br />Sprinkler <br />'i25-3�1�-I <br />PHONE <br />.� Zip CONTR. LICENSE # <br />��z01 <br />��'Gc�f �n,3�� <br />Addition HEAT SGURCE <br />Alteretion Q 6��cVic <br />New �j Gas <br />RepaidMaint. U Other <br />CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />�-�« � �. � �� � a � <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BHTHTUB <br />LAVATORY (WASH BASIN) <br />SHCWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINA� <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF PIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCEG AIR SYSTEMS <br />HEAT PUMP <br />UNIT NEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEHTER <br />METAL FIREPLACE/STOVE <br />FIREPLACE ItJSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />UTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINFCES GOVERNItvG THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES �JOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAVJ REGULATING CONS7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />0'lJNER OF THIS PROPERTY TO PERFORM THE WORK POR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAGTORS LAW 18.27 RCW AND 29o.2D0 WAC. i <br />Z17�104- <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />