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SITE ADDRESS <br />��12 <br />LEGA LOT NO. <br />r,�-� � 4 <br />TENANTNAME <br />wl � <br />CONTRACTOR <br />PHONE <br />P�RMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />�3t�R��s�i�r�� 02 <br />BL4CK <br />Lo <br />rH � r � �`'� n �✓ <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />W �RK DESCRIPTION <br />PARCEL TAX I.D. p <br />av ��2�-�oC�_ <br />TRACT <br />(3�=vr`2 L �( ,��s <br />ADDRE53 <br />/ 25�51 G2c-t�t�eeo 1'}v <br />I ��°%[I1ar RMIT' 1��n,N�I <br />n <br />ADDRESS <br />Bullding D Mechanlcal <br />PERMIT � Combinallon B Plumbing <br />TYPE Demolillon Slgn <br />Sprinkler <br />PERMIT M <br />IS`-o0 <br />9iu�siti� Z <br />..._.._ �vCo <br />JU �C�1�8 3c,3o5 SZ <br />a.ob ���2° s b,q 6 <br />21P CONTR. LICENSE N <br />n Additlon <br />� �1 Alteratlan <br />�_� New <br />LJ Repair/Malnt. <br />HEATSOURCE <br />n ElecUfc <br />B Gas <br />Other <br />CITY OF EVERETT LOCAL SALES T4% CODE IS 7t06 <br />G�G'!1-tGC i%�u�2� Q�i S�II7GCL-" /���Z+rL ��� TY/�c�YL%C ��' <br />NO. I TYPE OF FIXTURE GR �TEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATC RY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 JISPGSAL <br />DISHWA�HER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — AIHANDLING 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 />I HEREBV CERITIFV THAT I HAVE REhD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVE:2NING THIS TVPE OF WORK WILL BE COMPLIFD WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CPNCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONS'RUCTION OR THE PERFORMP,NCE OF CONSTRUCTION. TMAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE \NORK FOR N'HICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW.1B.27 RCW AND 296.200 WAC. <br />� <br />-i o-c�3 <br />DEBIT 8 CREDIT CARDS ARE NQT ACCEPTED <br />