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PBRNIIT APPLIGATI&A <br />j CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERLTf, WA 98201 <br />425-257.8810 - FAX 425-257-8857 <br />SITE ADDRE S <br />PARCEL TAX I.D. i <br />PERMIT <br />4o <br />LEGA L T NO. TRACT <br />DESC. <br />OWNER ADDRESS ZIP PHONE <br />lGi� f� Tke ✓/Y! �> <br />TENANT NAME <br />I CONTACT NAAAC PHONE <br />CONTRACTOR ADDRESS ZJP CONTR. LICENSE tt <br />/7e6l/LlSd,�-/ /7L/Ltc /�C �?;2336 /3-r)17;ir 4,e,6- 1940,93.�Pjlz71-cZ <br />PHONE A? I- /I(I fV� �ipZ2 J <br />(b60L)FyZ �u6z <br />PROPOSED USE OF BUILDING <br />fi ©ulk5ng f1 Mechan�Cal <br />PERMIT Combinntbn III--J(t Ptum6mg <br />AArLbon <br />(WORK R Anereoon <br />HEAT SOURCE <br />D Ebcmc <br />r r <br />I TYPE Demolition Sign <br />TYPE [D� <br />B Ow <br />rinkler <br />R"W/Mnnt. <br />OCter <br />CONTRACT FRICE OF WORK ZOOy <br />Cn-r OF UVERETT LOCAL SALES TAX CODE tS 7105 <br />WORK DESCRIPTION <br />/N-S /Y4f,[. IC7 /QE �f1f�//�K CGn--T rN ,cit"s- SFie <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR REM <br />WATER CLOSET <br />_ <br />A/C- AIHANGLING UNITS <br />BATHTUB <br />_ <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY(WASH BASIN) <br />— <br />HEAT PUMP <br />SHOWER <br />_ <br />UNIT HEATERS <br />_ <br />KITCHEN SINK 8 DISPOSAL <br />_ <br />CLOTHES DRYER <br />_ <br />DISHWASHER <br />_ <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />_ <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />_ <br />METAL FIREPLACE/STOVE <br />URINAL <br />_ <br />FIREPLACE INSERT <br />_ <br />DRINKING FOUNTAIN <br />_ <br />GAS FIREPLACE <br />_ <br />FLOOR DRAIN <br />— <br />GAS RANGE <br />_ <br />BACKFLOW PREVENTER <br />_ <br />GAS PIPING <br />_ <br />S114K ISERVICE/BAFUMOP/ETC.) <br />_ <br />EXHAUST FAN <br />_ <br />_ <br />OTHER __ <br />__ <br />OTHER <br />I HEREBY CERI TIFY :HAT I HAVE READ AND FJUW WED THIS APPLICATION AND PL%rjN 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 HEREN 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 CONSTRUCTICN 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 I COMPLY WITH TI-E STATE <br />CONTRACTORS W 1 27 RCW 296 200 WAC <br />n / <br />J�J "AL <br />SK,rrwm it onlradorrAuthcnZRC egenl Dfue <br />`la- <br />