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PER�VIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRE55 <br />; -�yv3 �rti ,4��t CtJ <br />LEGAI LOT NO. BLOCK <br />DESC. <br />OWNER <br />/�:(�� //� �.LI�/�i-'-iSc='1 <br />TENANTNAME <br />CONTRACTOR � <br />h Cij�.uS d.v %��..� h . <br />PHONE I�(cdJ 5�03 - �S�bL <br />PARCEL TAX I.D. # <br />TRACi <br />CONTACT FOR PERMIT <br />PERh11T # <br />_ � yl1l�-va�� <br />ADDRESS ZIP <br />s 933J /.> ��i „���� ,�.-c" <br />nd�? 2j <br />PHONE <br />CONTR. LICENSE # <br />J2 U�3i.., i� � 1 : �c� <br />PROPOSED USE OF BUILDING I Building Q hlechanical Addi;ion HEAT SOURCE <br />PERMIT g Combina6on �j Plumb�ng WORK R Alteralion j� Electric <br />TYPE r) Demolilion �� Sign 1'YPE D New D Gas <br />S f" i2 � Sprinkler U RepairlMainl U Other <br />CONTRACT PRICE OF WORK � �_ S d U CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />WORK �ESGRIPTION <br />/.vS�T-4-�L-L (�i/7c— S�i� i.`.CL c'7Z � ySiC�r St=.£ <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHGS WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/Iv10P/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 />RAiJGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSEftT <br />G.4S FIREPL.HCE <br />GAS RAP�GE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />� _t���� C <br />I HEREBY CERITIFY THAT I HHVE READ AND E,�iHMINED THIS APPLICATION AND KNOW "fHE SAME TG 6E TRUE AND CORRE�T. ALL <br />PROVISIONS OF LAWS AND ORIDINACcS GOVERNING THIS TYPE OF V��ORK 1NILL BE C064PLIED WITH WHETHER SPECIFIED HEREIN OR <br />N07. THE GRANTING OF A PERti11T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATc OR CP.NCE� THE PROVISION OF AiJY OTHER <br />STATE OR LOCAL !,aW REGULATING CON57RUCTION OR THE PERFOR6IANCE OF CONSTRl1CTION. THAT I Atr4 AUTHORIZED BY THE <br />G'A�NER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COh1PLY V'JITH THE STATE <br />i:ONTRACTORS LAW 18.27 RC}�(AND 29fi.200 4VAC. <br />/f <br />DEBIT & CREDIT CARDS ARE N�JT ACCEPTED <br />