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IfilIZERMIT APPLICATIA <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE TT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />PARCEL TAX I.D. N <br />PERMIT a <br />L?O/ �'L�t WE$T <br />:�60y13- oc3- c)17-60-Top <br />LEGA LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />j cl ? <br />J <br />OWNER ADDRESS ZIP PHONE <br />%R�a ��Js1;2vt'fi�.�/ ,�9�a��*hPv�.,v� E�eeF-rT clt?Zrs 42<397736 <br />TENANT NAME <br />CONTACT NAME PHONE <br />�oe1 Ii-aLac' ZS 2c1c,. 92'1 <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />iiili�C` 13RcS CCA%STi2uLT'T0l' 3ya� b���ll�irC NE �ll'RCTI `Ib205- <br />PHONE <br />�Q\-7--73C0 JLPO 13:1012-D <br />PROPOSED USE OF BUILDING <br />Building Q Mechanical <br />Adtlition <br />HEAT SOURCE <br />PERMIT Combination ) Plumbing <br />TYPE Demolition 6 Sign <br />WORK <br />TYPE <br />Alteration <br />New <br />Electric <br />Gas <br />Sprinkler <br />I <br />Repair/Mamt. <br />Other <br />CONTRACT PRICE OF WORK I � L; r 00 <br />—CITY EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />Nam.: »L�PLEX <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />.i.(J <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 DISPOSAL <br />_ <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY 1 RAY <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />'— <br />_�_ <br />GAS FIREPLACE <br />_ <br />_ <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />_ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />OTHER <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PRCVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />C JNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />SONTRACTORS W 18.27 RCW AND 296.200 AC. <br />b <br />Signi ure o ner/Contractor/ o ed Agent Date C \ <br />