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' PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 <br />CEDAR STREET, EVERE(T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />83o '8016 54 S w <br />PARCEL TAX I.D. IY PERMIT <br />_ <br />LEGAL LOT NO. BLOCK <br />TRACT <br />DESC <br />OWNER <br />ADDRESS ZIP PHONE <br />SUL��LI Uznfaf r\ n.• Llt <br />l� (OI rF AV .t c 6r11 y �: i7 1723 950 <br />TENANT NAME <br />�Lu <br />CONTACT FOR PERMIT PHONE <br />50'k sf(, +,eA_+L,-rf <br />(-h<<,)ce- 6'XIII( if (aS3)'it 7a-Ta�.a <br />CONTRACTOR <br />%("cW.cr <br />ADDRESS ZIP CONTR. LICENSE N <br />tc stir• cr;nntn <br />�155 �r.r�Joi1L t itSn3) ARCHrlkal9DR <br />PHONE <br />12.61)151,- M 1 - <br />PROPOSED USE OF BUILDING <br />I--) Building n Mechanical Atld�lion HEAT SOURCE <br />PERMIT <br />TYPE <br />Combination jHv( Plumbing IWORK R Allerallon Electric <br />Demolition Sign TYPE New Gas <br />III�o—'1((( <br />FR( <br />Sprinkler Repair/Maim V Other <br />CONTRACT PRICE OF WORK '1OA <br />d <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION rnsimI I New Ffrf— i ^nKle.^ <br />` /` NFlikktl3 (Shell UnIL�j <br />A) h�i5 <br />PLUMBING <br />MECHANICAL <br />TYPE OF FIXTURE E OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ WATER CLOSET <br />BATHTUB <br />A/C — A/HANDLINGUNITS <br />_ <br />_ LAVATORY (WASH BASIN) <br />_ <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />_ SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />UNIT HEATERS <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />_ LAUNDRY <br />WATER HEATER <br />CLOTHES WASHER <br />URINAL <br />_ <br />_ <br />METAL FIREPLACE/STOVE <br />_ <br />DRINKING cOUNTAIN <br />_ <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />FLOOR DR. I <br />_ <br />GASRANGE <br />_ BACKFLPREVENTER <br />_ <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />OTHER <br />_ <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 GOVERNING THIS TYPE OF WORK WILL RE 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 PERFORLI THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �'J <br />