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SITE ADDRE55 <br />ZZ, <br />LEGAL LOT NO. <br />CESC. O <br />P�RMIT APPLICATI(��� <br />CITY OF EVERETT PER;JIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />_�� /,(,v G�0 � <br />I PARCEL TAX I.D. # I PERb7iT d <br />t� <br />- � a�� , <br />TRACT <br />t* <br />�d�a�����Lc, ��s�-� l,l� ���3�•3y Ao�SL j��,-�a� qss��a V�� �-rv3-���8 <br />TENANTNAME CONTACTFOR PERMIT PHONE <br />- I�.�,� �.�ssl�,� tias-T�3-�1��s <br />CONti�RACTOR <br />A [x 412 � Y�u`�(�\S� �� l-�-L <br />PHONE ' <br />PROPOSED USE OF BUILDING <br />`.�ln�'�1� <br />�,.�,w.�k.� �'�ali�c��..� <br />A�DRESS � � 21P CONTR. LICENSE tl <br />l"IU3�--35 F1�rSE b�'h.zl�q8o�7- <br />� , F-��a� zc�o3�� i <br />(� Buildiny Mechanical <br />PERMIi j�'Combinalion �Plumbing <br />TYPE D Demolilion Sign <br />U Sprinkler <br />CONTRACT PRICE OF WORK ,"� \.�5 C v i, <br />WORK DESCRIPTION <br />�dclition <br />Alterauon <br />ew <br />RepairM1laint. <br />HEATSOURCE I <br />�El�ciric , <br />Gas <br />Olher i <br />CITY OF E'.'ERETT LOCAL SALES TAX CODE IS 7105 <br />N � w < ��v �-��,r_ \ �tT,— � � .Qa�„�� � c�nw��•� .1tcA���.,v� <br />( 3 sA-*.c_ 3-l"1 <br />HO. <br />_L <br />rYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISPOSAL <br />DISHN'ASHER <br />LAUNDRY TRAY <br />CLOTHES W�SHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREV[NTER <br />SINK (SERVICE�BARIh10P![TC.) <br />OTHER IZcrC �i��� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - NHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRY R <br />RANGE HOO� �1i Qc.:� <br />WATER HEATER <br />METAL PIREPLACE.�STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />� I+.ERE�Y CERITIFV THAT I HAVE RFi�D AND EXAMINED THIS APPUCATION AND KnOW THE SAME TO BE i RUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDIN4CES GOVERNING i HIS TVPE JF WORK WILL BE CJAiPLIED WITH 1NHE i HER SPECIFIED HEREIN OR <br />VOT. 7NE GRANTING OF A PERMIT DCES NOT PRESUM1�E TO GIVE AUTHORITV TO \'IOL4TE OR CANCEL THE PROVISION OF ANV OTHER <br />`, i ATE ON LOCnL l H�l' REGULATING CONSTRUCTION (, THE PERFi)RRIANCE OF CONSTRUCTION. THA? I AM AUTHORIZED BY THE � <br />! riVNER OF 7HIS PROPERTV TO PERi�ORt:1 THE WORK FOR \VNICH APPLICATION IS IdADE AND I COMPLY 1NITH THE STATE . <br />c:ONTR4CTOP;S LAW 1827 RCP/ AND 296200 WAC. ' <br />,�, � �; .. . . li � � o \ .� � � <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�IL <br />