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� <br />� <br />SITE ADDHESS <br />�%ZOS �C <br />LEGA LOT NO. <br />DESC. �`' <br />RMIT APPLICATI <br />CITY OF EVERElT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />• �, <br />� � . �� �: / // <br />BLOCK TRACT <br />�1S �i �LIfT or <br />%%/(/. � <br />vvn�n 7v 7AT -'--"--- <br />�i -�+�g-Csri/ L <br />r"�.Ui4 r�r� <x%=u%�''! /�� . ZZoS /,Uau- 5 0`', <br />TENANTNAME I CONTACTNAME PHONE <br />Ol�NGJ� <br />CONTRACTOR <br />t7q I//5 5'�Nut.u.t� ,+�� <br />PHONE <br />�ZS' %�%r"J <br />PROPOSED USE OF BUILDIN(3 <br />p��� cFF�� <br />CONTRACT PRICE OF WORK <br />ADDRESS ZIP CONTR. UCENSE • <br />Z/ Zz l�¢�'i� S<!J `If�3% <br />Building <br />PERMIT � Combinetion <br />7YPE Demolition <br />Sprinkier <br />�Mechonical I � AddNbn <br />Plumbing WORK F.ieratbn <br />Sign 7YPE New <br />flopeir/Maint. <br />HEATSOURCE <br />D Elec�rie <br />B Ges <br />Olher <br />CITY OF EVERETT LOCAL SALES TAl( CODE IS 7105 <br />WORK DESCRIPTION B �� ��5 r� /NT. (U/Q�LL ��}C'/UZtOji L[/�L(i <br />TJ. - aer�o Po,��i .� <br />-�J /� L�i�' �%r�/GG %� �/'/F i� /� D� f•�CCI Ol�ih�-v4F.rV D�/`L <br />A ��o � r.�s7 Go�vG .-tr> 5, �/�f�� <br />NO. I TYPE OF fl%TURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER <br />NO. I TMPE OF Fl7CTURE OR ITEM <br />A/C — AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE f IOOD <br />WATER HEATER <br />METAL FIiiEPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />3AS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CEHITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREI:T. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETMER SPECIFIED HEREIN OR <br />NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PflOVISION OF ANY OTMER <br />STATE OR LOCA� LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO PERFORM THE \NORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITM THE STATE <br />CONTRACTORS LAW 1�.27 RCW AND 296.200 WAC. � � <br />