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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 Nib -90A 5f S w PARCEL TAX I.D. # MIT # <br />e 4- WA q8t0 P- <br />LEGAL LOT NO. BLOCK TRACT <br />OESC. <br />OWNER r ADDRESS SIP PHONE <br />le,oan Aahe/zanil N I?0�4 SGt' 'cvvye> - oyioy �y� 5�sss-9r yG <br />TENXNT NAME CONTACT FOR PERMIT PHONE <br />��cel CW5 3 ,6 <br />CONTRACTOR ItfarriC C ADDRESS ZIP CONTR. LICENSE # <br />PHONE <br />PROPOSED USE OF BUILDING Building a hanloal R Addition HEAT SOURCE <br />L I PERMIT Combination Plumbing WORK V AlpraUoIt j$ Electric <br />TYPE Demolition Sign TYPE New I B Gas <br />r-WSprinkler Re alr/Maint. Other <br />CONTRACT PRICE OF WORK /lam lf� J I CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />WORK DESCRIPTION <br />oL yA <br />13 t� ry x ' <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ <br />Z <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />ROWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE,IBAR/MOPIETC.) <br />OTHER <br />m)E <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNITHEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />F. ,EPLACE INSERT <br />GAS FIPEPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATIQN AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WILT 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 LAY! 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 iB 27 RCW AND 296 200 WAC. r <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />'/Z <br />