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PERMiT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE'eT, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />3E53 PARCEL TA% I.D. f <br />112�, �vr� � ��tn��r:f� �orlqaa�oo�o� <br />LOT NO. BI OCK TRACT <br />'� �1'�*(/ f% I.�bfit �F�GIz II�i701� <br />�'6�/rl �tv �ir�i�i� IN<i <br />TENANT NAME <br />N�'f�� �'�Pt'G�� I�I22�. <br />CONTRACTOR <br />yFtAMj20riK �12y I G�i <br />PHONE �17�7�� ry�.l"� I �Q <br />v�, � � v rr <br />(o�11�i �,hvl�W µw j'H'ZQ �i��.tit�� Wft �IBII� <br />CONTACT FOR PERYIT <br />I+At�Y �i�al� <br />ADDRESS <br />(�6��, yr=AVIGW NW <br />�ratt-i,�, WA �Bll� <br />PHONE <br />(�i) 75�- I I I I <br />21P CONTR.LICENSE� <br />ew+.Mp� I o�4N t� <br />PROPOSED USE OF BUILDINO I ryPE�T �.] DP �kle��on R S 9mbing I Iy�ypPE�( �N P���am, I HEAT SGU��CE <br />u D <br />�� <br />U LJ <br />CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS �106 <br />WONKDESCRIPTION -�-�Np,��- IMptZGV�Wt�t�►�" � �{�iW p122�• ��yj"i�IA�AN1'�%(K�O�It <br />IN t':K��mNGI �til�e�NG�, �i�Y� o� �vl'%�t'j' {�1,/�N U1��K- <br />#��ollo-a�0 <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARlMOP/ETC.) <br />OTHER <br />NO. I TVPE OF FiXTURE OR ITEN <br />A/C - AIHANOLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CIOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPIACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HENEBV CERITIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND HNOW THE SAME TO BE TRUE AN� CORRECT. ALL <br />PHOVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK VNLL BE COMPLIEUIMTH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANiING OF A PERMIT DOES NOT PRESUME TO GNE AUTNORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OF LnCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BV 7HE <br />OWNER OF iHIS PRO RTV TO PERFORM THE Wi7RK FOR WHICH APPLICATION IS MADE AND I COMPLY VNTH THE STATE <br />CONTRqGTOR5IA 18 7 RCW ANO 296200 WAC i / <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />