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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 1515 -7 rid 1-% • • 3 W PARCEL TAX I.D. N PERMIT # <br />EJere.ti- I LA) Iq `�aro23 1 z 9()L ( % L CO t 0 0 L00 I k0� 12 oo?. <br />LEGAL LOT NO. BLOCK TRACT <br />54, Qew� er LLc, 1601 JV. 2oo41151, 1'WoveVne-,00 gY13�;, <br />TENANT NAME <br />CONTACT FOR PERMIT <br />PHONE <br />`"3oizl q '7-L20 <br />I KLkilt 3arr01.J <br />-) ):i—')`I c I c7Qq <br />CONTRACTOR <br />ADDRESS <br />ZIP CONTR. LICENSE p <br />F:rC 5fit V'kvY5, 7-VNt. <br />tO%q Al 700 <br />PHONE ` <br />(�2 �3� 82b-L�c�99 <br />'5'k.0AYl�r, wA Cl$3R0 <br />�Z2E9T-b11VkCiS <br />PROPOSED USE OF BUILDING <br />n Building j") Mechanical <br />® Addition <br />HEAT SOURCE <br />PERMIT <br />Combination 1Fv'(j Plumbing <br />WORK <br />I_) Alteration <br />n Electric <br />TYPE <br />1hr®'djj Demolition Sign <br />TYPE <br />B New <br />B Gas <br />Sprinkler <br />Repair/Mamt <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION Arfet A000 dLry <br />Vt0 f;2or., S1GLC w«t% <br />Srf:11,41,•,r "-f(k( S <br />yo o v. fix; al: �t9 gpr; nli1�V a"Aek<vv. , -VVNt ' a.Ad.eA <br />5P('Nva.er hetnds wall be k0c,-A-et iv\ <br />n vL-exl-rr;o✓ <br />Cok 01"' ,c✓ <br />VJ0,V., <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES `HASHER <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 />_ <br />_ <br />_ <br />_ <br />_ — <br />A/C - AIHANDLINGUNITS <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 />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED 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 LA REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PRO ERTY TO ERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 8.27 RC NO 296.200 WAC. <br />/NA tv>ri II/o/a <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />