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� PERMIT ARPLICAI"ION <br />CITY OF EVERETT PERMIT SERVICES <br />?200 CEDAR STRCET, EVERETT, WA 98201 <br />425-25 � -8810 - FAX 425-257-8857 <br />SITE ADDRESS I PARCEL TAX I.D. 0 P RMIT p <br />� _ r H 1��_ !���00 4'D� RDD o3 � v-c�.� � <br />LEGA� LOTNO.—_—� OLOCK r—TRACT <br />DES" . 5 I 2��� <br />0\i.�cH ��JI�RESS ZIP PHONE •+ I3•��%� <br />_"�_ <br />7ENANT NAME <br />CONTRACTOR J�` / <br />�_ l <br />PNONE �� � <br />PROPOSEO USE OF BUILDING <br />pRI�E '(NRD(/Gtf <br />�ssPR 6sfo 5 r� r�fl <br />CONTRACT PFICE OF WORK <br />WORK DESCRIPTION <br />PR� FA�RI[.hi�E� <br />zz�� � /4�� w# <br />CONTACT FOR PERMIT <br />AODRESS <br />,ra�nvi <br />Bwlding Mechanical <br />PERMIT � Combination R Plumbing <br />TYPE Demolition D Sgn <br />Sprinkler <br />ZIP <br />Z7 T/D7'��Dr% <br />CONTR. LICENSE N <br />�C�c'_b='*�9/ m�; <br />Addil¢n HEAT SOUR.E <br />)RK � Alteral�on � ElecVic <br />PE New Gas <br />RepairlMave. I Olher <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 7105 <br />pk �vE r� Rav4 ff E55 P�&ssa tit�N� <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />_ WATER CLOSET (TOILET) <br />TORY (WASH BASIN) <br />KITCHEN SINK 8 DISPOSAL <br />DISNWASH[R <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />ELOCR DRAIN <br />BACKFLOW PREVENTGR <br />SINK �f.ERVICE.�BAR/MCP�ETC.I <br />NO. I n'PE OF FIXTIIRE OR I�lEM <br />A/C - A/HANDLING UNITS <br />FORCED AiR SVSTEMS <br />HEAT PUM�' <br />UNIT HEATERS <br />CLOTHFS CRv;;R <br />R.4NGEHCUD <br />N'ATER HEATEF: <br />METAL FIREPIACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACF_ <br />GAS RANGE <br />GAS PIPING <br />cXHAUSTFAN <br />:L <br />' 1�,EREBV CERITIFV THAT I HAVE HEi.D AND 'c,rAIdINED THIS APPLICATION AND KNOW THE SAME TQ BE TRUE AND CORRECT. ALL <br />�'ROVISIONS OP LA�VS AND ORIDINACES �;OVERNING THIS TYPE OP WORK WILL �E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />I�OT THE':'.ANTING OF h PER611T DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CPNCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTICN OR ThE PERPOHIdANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />0':JNER OF THiS pROPERTV TO PERFORId THE'NOftF: FOR WHICH APPLICATION IS PdADE AND I COMPLY WITH THE STATE <br />CO�JTRACTr,RS �.4W �8 27 RCW AN� 296.200 V1hC- <br />( <br />'IL <br />i <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />