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SITE ADDRESS <br />LOT <br />DcSC. <br />9 <br />�NERMIT APQLICATiOM <br />CITY OF EVERETT PERMIT SERVIGES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />� • �2�oGio'loo�o'too <br />BLOCK TRACT <br />3 3-00� <br />vl��. ��ti I� P�-��^ <br />TENANT NAME <br />�..���n� �2►��:�r �a�� <br />CONTRACTOR <br />�DI'�n� ConS�'F�a-r� <br />PHONE , <br />'21 <br />�� % -- I � ;,�- <br />�MIT.k <br />D 3/Q-� o/� <br />' PZ8' ��ZI�Gi �� �l8?a� �,,.,..� <br />CONTACT FOR PERMIT PHCNE <br />��'1 f ��� 42�i� 71�2 � 2153 <br />AD�RESS � <br />!05/! lq� /J U�• <br />Ca/esZ�"' i VJA <br />S� �t��Z�P <br />� lI <br />CONTR. LICENSE # <br />Gj4FFNG� �41� <br />PROPOSED USE OF BUILDING pERM1T B prr nklealion � Plumbing al WORK �--( ^tlP„r Maint. 4EAT SE ec�lric <br />Q��� 7YPE Demolilion Sign 7YPE �l New as <br />L) Other <br />CONTRACT PRICE OF WOR� �� �.� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK �ESCR�?TION . <br />At�1��- aF a z S{� cPPlc�-/j/d� ��✓�r�b t�tz,��-�h��(-. <br />/ <br />`��� ,'''/-'I <i / � v -� � <br />r <br />NO. I IYPE OF PIXTURE OR ITEM UnQCR� <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <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/BAR/MOP/ETC.) <br />OTHER <br />TYPE OF FIXTURE,OR ITEM ' Gu'Y'�'�'ri <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMf' <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXf MINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANU ORIDINACES GOVERVING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT F,2ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTR'�CTION OR THE PERFORMANCE OF CO�JSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS FROPERTY TO PERFORM TF E WCRK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 R�W AND 296.20C WAC. <br />� �t-,.._ <br />la• io. u3 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�/a <br />