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� ��� <br />SITE A� <br />i_EGaL� lOTNO. <br />DESC i A <br />� PERMIT APPLICATION nA;'� ` `�y <br />CITY OF EVERETT PERMIT SERVI��ES (0��� �35-� c) <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8010 — FAX 425-257-8857 <br />��. .��— PARCEL TAX I.D. # PERMIT a�IZ u/J <br />� «� <br />BLOCK I TRACT <br />L� _^ <br />�,z:_� f�,.,�;;�,�J�i,:��,Nc /�o�oX�.s-�y,.r.-,�/,,�,Ji�/ '�� y�;-3�����c6�, <br />TE.':ANT NAME CONTACT FOR PERMIT PHONE <br />���NrG /✓Ji:�Z�le..1 �{er3� 7•/000 <br />CGN" 'ACTOR AUDRESS 21P CONTR. LICENSE p <br />J �1�•�f I� S [7��.'��'2 <br />PHONE Gnrr�%-r*�r1� �,•.3 <br />PROPOSED USE OF BUILDING Building Mech�inlcal jjj��� Addition � NEAT SOURCE <br />PERMIT � Combinalion � Plumoing WORK � Alteralion � Eiectr�c <br />i 'YPE Demolilion U Sir,n TVPE Nev� Gas <br />S � (� Sprinkle� Repa�nMainl. Other <br />CONTRACT PRICE OF WORK �'�O; DUO � �ITY OF EVERETT LOCAL SALES TAX CODE IS I105 — <br />WORK t7E5CRIPTION <br />� <br />J�r./ll'��l°r i-��-1,l� .��"l/� <br />NO. I TYPE OF FI%TURE OR ITEM <br />I —;— <br />i <br />WATER CLOSET (TOiLET) <br />BATHTUB / �} �'D w� nZ <br />LAVATORY �WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHCS WASHER <br />URINAL <br />DRWKING FOUNTAIN <br />FLOOR DFAIN <br />PACKFLOW PREVEN7ER <br />SINK (SERVICE�BAR:MOP%ETC.) <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C -A/HANDLING UNITS <br />L FORCED AIR SVSTEMS <br />HEAT PUM11P <br />UNIT HEATERS <br />1 CLOTHES DRYE-R <br />� RA�:3E HOUD <br />I WATER HEAT[R <br />� METAL FlREPLACEiSTOVE <br />FIRt?LA:•E INSERT <br />L GASFIr:E�LACE <br />GAS RANC:. <br />� GAS PIFiNG <br />� EXHAUSTFAN <br />OTHER _ <br />'� r�.EREB� CER�TiFV TNAT i HAVE READ AND EW+MINED THIS APPLICATION AND KNOW TME SAh1E TO BE TRUE AtJU COf3HECT A�L <br />Pq0\'IiIONS OF LAWS AND OftIDINACES GOVERNING THIS TVPE OF hORK WILL BE COMPUED WITH WHETHER SPEC:"ricL� nERE:'� 0� <br />IJOT i hiE GRANTING OF A PERM1IIT DOE$ NOT PRESUtdE'O 3�`.'E AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF FK� O"r•E7 <br />gTh'E QR LCCAL �1V( REGULATING CONSTRUCTION OR 'ME PERFQRh1ANCE OF CONSTRUCTION THAT I Aht AUTN04iZED Bv '�E <br />OWNER JF'HIS PROPERTV 70 PERPORM THE WORH FOR 1hMICH APPi_ICATION IS FdADE AND I CCMPLV �1'ITH 7HF STATE <br />CONTRACTORS L4W iB27 RC'�V AND 296100 WAC <br />/ �C <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�✓ <br />