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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 />. <br />vL D <br />z�r <br />PARCEL TAX I.D. N <br />9ogU001wko� <br />ERMIT 0 <br />16 U'14'0.2 <br />LEGAL LOT NO. <br />DESC <br />BLOCK <br />TRACT <br />�— <br />OWNER <br />0,L7 <br />TENANT NAME <br />II <br />J+ .� <br />ADDRESS ZIP PHONE 7fi��t�p <br />u-c— lu.�� 1v�A'(� 'I euirf"k4r- 98�68 <br />CONTACT FOR PERMIT PHONE <br />IA✓7 <br />Vic(. za ro -sa3/ <br />O TRACTOR ADDRESS � I ZIP CONTR. LICENSE 0 <br />^ <br />PHONEl /1 (ro O <br />� <br />PROPOSED USE OF BUILDING <br />�,1 \ <br />C11VV(, L (lwl'�+ <br />I ,P}'�orribig Mumbingal <br />PERMIT IIIL---1J(( Combination R Plumbing <br />TYPE Demolition D Sign <br />Sprinkler <br />F� A11tt, <br />WORK 'lIF[-J�(%ti If. _Item' m <br />TYPE New <br />Repair/Maim <br />HEAT 90URCE <br />Electric <br />Gas <br />Other <br />CONTRACT PRICE OF WORK 2-J , <br />SS <br />��/ 1 °:' <br />i <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHW.ISHER <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 />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 FAIJ <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERTIFY 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 LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEREORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />El - <br />