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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 />PARCEL TAX I.D. N <br />PERMITS <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS ZIP PHONE <br />SOU-i"d Ue,n+LLB n-no. Lv- 3).0 IO0' AVC.n1e. Swtetec BEII.►rP40.1!4od1 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />$6' 5fr0& <br />Chang 64nax1 (a53)$7a-73Laa <br />UeA+LL.re- <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE <br />AreWer cans+rI.cttoArrC-. ISS5 st kA+,wA, 95663; ARCHE4319DR <br />PHONE <br />W3)'671-7a3kI <br />PROPOSED USE OF BUILDING <br />Building DR Mechen iCal <br />���]]] Atldit'on <br />HEAT SOURCE <br />PERMIT <br />Combination PlUmbing <br />WORK <br />Alterallon <br />D Eleclnc <br />TYPE <br />Demolition u Sign <br />LJ <br />TYPE <br />I <br />New <br />(U] Gas <br />I <br />Sprinkler <br />Repalr/Melnt <br />Other <br />CONTRACT PRICE OF WORK 3 5 6 CITY OF EVERETT LOCAL SALES TAX CODE IS 0105 <br />WORKOESCRIPTION rnS'f0.1I New Fjre_ 5pc.nKler S,5-,,,tm pu 14FFW13 S�%G11 OnILA <br />i��,Ia ti, r 1 yav his <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />WATER CLOSET <br />A/C — A/HANDLINGUNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_ <br />_ <br />KITCHEN SINK 8 DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />_ <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />_ <br />_ <br />FLOOR DRAIN <br />GAS RANGE <br />_ <br />BACKFLOW PREVENTER <br />GAS PIPING <br />_ <br />SINK (SERMCE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />OTHER <br />OTHER <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 GOVERNINGITHIS TYPE OF WORK WALL BE COMPLIED WITH VMETHER 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 />CONTRACTORS LAW 18.27 RCW AND 298.200 WWAC. <br />r <br />I netere of Uom'er On rector/ ur orized .nt ate <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />1/z <br />