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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />7�1- ��2��' SG B-1 <br />LEGAL LOTNO. BLOCK <br />TRACTg <br />PARCEL TAX I.D. p <br />003 0�700 <br />PERMIT p <br />S�cz-oi <br />pA�i��� C[.v�fe.iS is3$ St�v�cw N�✓ S��i�I�F4 � <br />TENANT NAME CONTACT FOk PERMIT PHONE <br />fl4riy`s I�tn�crc.� ,��ii4 I S-fc�� �Louy�. �i?S'-7J6•-FSk33� <br />Kcr��. Nco � c o <br />PHONE y7s�: .�i6 _ ��35' <br />AUORESS <br />�o. iT�R o"1 6 j <br />L�r.v.v G.�c /) ) �1/i <br />ZIP CONTR. LICENSE p <br />�J6'dI[ �crr,.Nte77ti`� <br />PROPOSED USE OF BUILDING Building Mochanical Addiiion HEAT SOURCE <br />PERMIT � Combin80on Plumbing WORK Alle�ation � Electric <br />�r g�� 7�,�,r TYPE Demolili0n ign TYPE ew Gas <br />Sprinkler Ropalr/Mainl. Other <br />CONTRACT PRICE OF WORK $� 6� 3 3 y. °O CIN OF EVERETT LOCAL SALES TAl( CODE IS J705 <br />WORKDESCRIPTION ��S�qtC �/) S�� o� �S�v C��4ryryiC L�/+t�g 4�!) n+s�„'[L <br />PLUMBING <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSFT (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DI3POSAL <br />DISHINASHER <br />IAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOC:PREVENTER <br />SINK (SERVICE/BAR/MOP�ETC.) <br />OTHER <br />I <br />N0. I TYPE OF FI%TURE OR ITEM <br />NC - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />W.4TER HEATER <br />METAL FIREPIACE/STOVE <br />FIREPLACE �NSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />i^ERE�V CERI7IFV THAT I HAVE READ AND EXAI.IINED THIS Ar PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PRfiVISiCNS OF LAWS ANO ORIDINACES GOVEHNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANIING OF A PER",IIT UOES VOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br />5'rTE OR LOCAL LAW �yEGUL1-ING f.ONSTRUCTION OR THE PERFJRMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />�='NNER OF'HIS PROPERTV TO PERFORM THE 1VQj3Y OR N'HICH APPUCATION IS MADE AND I COMPLV WI7H THE STATE <br />CONTRACTORS LAVJ 78.�yffCW AND,29�Up�'FCi`,.�- <br />� /%�`�'/ ��z � <br />Sign 0 rContracronAuthonzed Ayent Dato ! <br />_ _ SGYo' - vl� � <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />