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P'�RMIT APPLICATId�V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 G — FAX 425-257-8857 <br />SITE ADDRESS PARCEL TA% I.D. • <br />�932 \VA1.1�1U1' s11Lk'-�,T Oo 55(03 {v(, 01�7 0l <br />LEGA LOTNO. BLOCK TRACT <br />DESC. <br />OWNER ADDRESS <br />S�.4 23�, u,C. s 45 la.ty� �,Y�1-�uE N�,�k� <br />TENANTNAME <br />G•E.F. <br />CONTRACTOR , <br />� ir•rFl.�r. Gb�,lTacl,•.+g <br />PHONE <br />CONTACTNAME JQ�j,J rj'AU�.�I�{Q�"'� <br />SGoI.I�,D N'iJ�lSil2or'1 A(1�'F�1'6,c�1S <br />ADDRE53 LP <br />P�RMR <br />.w U��� � �� <br />PHONE � /L�5��0 <br />�E��ot 9E7�4 <br />PHONE��+� � u�, <br />i pSL <br />corrta. uceNse � <br />PROPOSEDUSEOFB^UnILDING I pf�uildi�g f� Mechenical I f�Oditbn I MEATSOIJRCE <br />I�.I�S� w,IY� PERMIT ��t Combinalion �-� Plumhing WORK �"� nnera��o� ro�£i�� <br />�f''� I�`+� � I—( K K I� — <br />OF U �PE �„1 Demolilion LJ Sign TYPE �� New �_� Oas <br />��� �� ��� L' IJ Sprinkler LJ RBpeir/Mainl. L.� Olhar <br />v 9oM <br />CONTRACT PRICE OF WORK � I�I ��) CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />WORK DESCRIPTION <br />i�1.+1�1.1T IMPI1.ovfi'.h�1F-I.ITJ T'e �-xi111N�+ 3ullb1�,1C� Z��,� S�. Fh�) �vtTlt <br />H 25� f�• �T oPf'lC� j�bb Illol.l . <br />NO. I TYPE OF fl%TURE OR REM <br />WATER CLOSET <br />BATHTUB <br />ieVATORY (W:.SH BASIN) <br />& DISPOSAI. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />UFINAL <br />DRINKING FOUNTA�N <br />FLOOF DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF I-lX?URE OR f(EM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />'MIWGEHOOD <br />METALFIRE E/STOVE <br />FIREPLACE INSE <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />� HEREBY CERITIFY Th1AT I HAVE READ AND EXAMINED THIS APPLICATION AND hNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PROVISIONS OF W WS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETh'ER SPECIFIEC HEREIN OR <br />NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUA7E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />S7ATE OF LOCAL LAW REGUUITING CONSTFUCTION OR THE PERFOFMANCE OF CONSTFUCTION. THAT i AM AUTHORIZED BY TNE <br />OWNER OF THIS PROPERTY TO PEFFORM THE VlOFK FOR WIiICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CON7RACTORS LAW tB.27 RCW AND 296.200 WAC. , <br />