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PERMIT APPLICATION <br />CITY OF EVERETT PERI1dIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-Stl57 <br />SITE ADDRESS <br />3Dl MUKII_'f�p $�,Vf� <br />LEGAL LOTNO. BLOCK <br />DESC. �. 1 pob <br />PARCEL TAX I.D. # <br />006062 �ooc <br />TRACT <br />0 <br />N <br />US� a�. <br />NA�'1 Z�tvE�Tl"LFn�f �+1� 3�I M�1K1�.-tC� A�D �✓_ P� r � r E, _(-1I'�- i�i i�1 <br />TENANTNAME CONTACTFORPERMIT PHONE <br />- owN�� — I l�,�v��� E-.,,.. so6 6�B-dboi <br />CONTRACTOR ADDRESS <br />?�.: 1 •. � . . . :�n�%.i:, <br />Pl10NE <br />PROPOSED USE OF BUILDING <br />�t AS SThTi o�1 <br />CONV151.1C.� S'LOj'2�, <br />CONTRACT PRiCE OF WORK <br />j� Building Mechanical <br />P[RMI7 n Combination R Plumbing <br />nre @ Demolilion � Sign <br />�) Sprinkler <br />21P CONTR. LICENSE N <br />�Addition I HEAT SOURCE <br />Alteration �i Electric <br />New W� Gas <br />RepaidMaint. L/ Othcr <br />CIN OF EVERETT LOCAL SALES TA7f CODE 151105 <br />WORK DESCRIPTION ! <br />CoNY�pT �x�YC��1C-� MC-ca1�.ltCq� SP��E 11-1to RKT�`. h�.b'A,�.�yD <br />TCa.�Y rk�c-I . <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FpUNTAIN <br />FLOOP. DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />h0. I TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />ca�2�Q,y av-r <br />I HEREBY CERITIfY THAT I HAVE READ AND EX/1M111NED THIS APPLICATION AND KNOW THE SAM11E TO BE TRUE AND CORRECT. ALl <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIfIEO HEREIN OR <br />NOT. THE GRAIlTING OF A PERMIT �OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE P[RFORMANCE OF COYSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPEF�N TO PERFORM1I THE WORK FOR WHICH AP�LICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCINAND 29fi200 WAC. <br />inzea v.gem uate O <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED \3 <br />