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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />426-257.8810 - FAX 425-257-8857 <br />Y w <br />SITE ADDRESS yt� r PARCEL TAX I.D. 0 PERMIT 9 n <br />2Se-FI?-c> o cn O — <br />LEGAI LOT NO. BLOCK TRACT <br />OESC lb lae f( PAVX.0—� <br />�� vr.io V�s1UrzE� <br />TENANT NAME — •VZ� 4!0-- C)E'tZq%MI �CONTACT FOR PERMIT PHONE I t <br />` c P ACL Zorn.*A:2-S .g5cr� <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSED <br />PHONE <br />PROPOSED USE OF BUILDING <br />Building <br />Ru <br />Mechanical <br />Aeel"on <br />HEAT SOURCE <br />PERMIT <br />Combination <br />Plumbing <br />WORN <br />Alteration <br />[R] Electric <br />WPV2C�'i�T-�l7`� <br />TYPE <br />Demolition <br />L.! <br />Sign <br />TYPE <br />New <br />pRepair/Main. <br />Gas <br />Sprinkler <br />II <br />v <br />UU Other <br />CONTRACT PRICE OF WORK <br />• A j COL-) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />WORK DESCRIPTION L-NE S-TLiZ'"t' Z4 �¢ cN[ • -n L- -. v? I.OA(zE+i-� <br />JSyvLIA'TL� S%JJF 11.n�2.p1.6L.L��1TS . <br />PLUMBING -p_gTg <br />NO. TYPE OF FIXTURE OR ITEMS <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 />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />_ <br />A/C-A/HANDLINGUNITS <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 TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />tOWBACTQRS(LAW 16.27 RCW AND 296 200 WAC <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />f/L <br />