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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />0;�r 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS PARCEL TAX I.D. tt PERM— IT p <br />q9 ov I "` AvE SE 23OF 00 oS o0 0201 -00?, <br />LEGAL LOT NO. `BLOCK TRACT -- <br />DESC. <br />OWNER I ADDRESS 132g DUgLfN QD ' PHONE <br />5s>} W 6N D LTD tf2 I <br />4a4"- 'I COLIAL406,c ni/ 4-z /7 <br />TENANT NAME <br />6ft(t g,e Foc-TwLr <br />CONTACT NAME <br />VAs CRQyL <br />PHONE <br />'3cv)6! 2-38zq <br />CONTRACTORQQOL.LO7Npp�N IN� <br />I <br />ICONTR. LICENSE N <br />PHONE 3� (�SZ-30� y <br />/�ALtDDRESS <br />i l7%2l I6�',gvE N�1 <br />MafLYSV(LL6 <br />I/}PoLLNIO[��Oli <br />WA• 27( <br />PROPOSED USE OF BUILDING <br />PERMIT <br />Building Mecha nical <br />g Combination Plumbing WORK B <br />Addition HEAT SOURCE <br />Alteration D Electric <br />TYPE <br />B Demolition Sign TYPE <br />New Gas <br />[C8,( <br />Sprinkler <br />B <br />Repair/Maint. Other <br />CONTRACT PRICE OF WORK LYJ> <br />CITY OF EVERETT LOCAL <br />SALES TAX CODE IS 3105 <br />WORK DESCRIPTION INST-ALL CK57BMGL5 W'60 21 X/61 /LLr'(M/Nkir2q <br />6 `x 2y/ NorJ-/-L(4M(f44� S16,,J R1560i� 'ThP 75'1� <br />EX1517N6- P`lCotJ <br />3 /GN AN D <br />SEc-,roll OF <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <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 />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 />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <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 1 COMPLY WITH THE STATE <br />CONTRACiO�� �8.27 RCW g�JD 2�200 WAC. <br />l <br />