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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 Lti'ff$ <br />it <br />I`� o <br />PARCEL TAX I.D. N <br />PERMIT N <br />C�301 C>3 <br />�y23 62?J S-f 5 E <br />005yy8O//OZ30U <br />LEGA LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER 1 <br />HaRIZOI-) <br />ADDRESS <br />62.rj Sf S. <br />ZIP PHONE <br />(HLS� 2G'i-otil <br />ur <br />2-4Z� <br />AiIgN7#g 9SLUS <br />cveae-Tr WA <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />CONTRACTOR <br />ADDRESS <br />ZIP CONTR. LICENSE N <br />PHONE Gci () ice/ <br />PROPOSED USE OF BUILDING <br />PERMIT Il-vu--(( <br />Building D Mechanical <br />Combination U Plumbing <br />WORK <br />Q Addition <br />I, Alteration <br />HEAT SOURCE <br />Electric <br />Gas <br />S <br />TYPE <br />Demolition U Sign <br />TYPE <br />B New <br />Repair/Maint. <br />Other <br />Sprinkler (N of heads) <br />CONTRACT PRICE OF WORK <br />(J <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />COYYPG <br />+ u-[J.( k. r't?Jryl(J <br />YE VtOCt�� <br />{ti Om %XL3c vYlc vl <br />- h I+c-1sU <br />- St1+� (115p <br />V!LlI1C'C <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />/ <br />-7- <br />7- <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />__ <br />___ <br />_._.._ <br />__ <br />__ <br />___ <br />/ . <br />__ <br />A'C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER -- <br />7 <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMtNEn THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />r.nNTRACTORS LAW 18.27,MW-OW 296.200 WAC <br />/-2T02 <br />