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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' PARCEL TAX I.D. a 4"'�'�''-`'` ERMIT f <br />'I / Z8o-1.12 oo 3ocSlasa ai� <br />LEGA LOT NO. BLOCK TRACT <br />DESC.r tb LyE n FAjZ.[SLg <br />OWNER ADDRESS ZIP PHONE <br />TENANT NAME - lb -Be p�A,�t,xU I CONTACT FOR PERMIT PHONE <br />W�-.0.C�'ct� $'� u Zoiv zzb -ISc'C <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE 6 <br />PHONE <br />PROPOSED USE OF BUILDING <br />I�, Building <br />Mechanlcel <br />Addition <br />HEAT SOURCE <br />\ ` ����TYPE <br />PERMIT <br />D Combination <br />BDemoller <br />R <br />D <br />Purn rig <br />Sign <br />WORK <br />TYPE <br />PAlteration <br />New <br />li Eledric <br />B <br />"". „-C� <br />Sprinkler <br />RepelrlMalnL <br />OGas <br />Other <br />ther <br />CONTRACT PRICE OF WORK {{a q �7 CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />WORK DESCRIPTION -!>J� Zy e-L-r- GcaC-. -TI LT - ve LJL1► actirc, <br />w�/^aCC-%SCT7r IMo.!@M�3h11��. <br />PLUMBING - <epicR.NiC <br />NO. TYPE OF FIXTURE OR ITEM V,07F-W - <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d 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 />A/C-AMANDLING 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 />_ <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 LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY O PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />,CONTRACTORS LAW 7827 R AND 298.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />