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� <br />� <br />SITE ADDRESS <br />DESC. <br />. <br />�i� SZ <br />TENANT NAME <br />.�— <br />P�RMIT APPLICATIdN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA �J8201, 425-257-881Q <br />CONTRACTOR S e0 � <br />TowN. <br />PHONE��S ��J —ISSK <br />PROPOSED USE OF BUILDING <br />�VCov�'� <br />Jv <br />PARCEL TAX I.D. M <br />ADDRESS V <br />ras aP„� <br />CONTACTNAME <br />�%n-► Gu�'NN <br />ADDRESS �� <br />/� sa/ <br />l.,,.,r�ae,v,ol %� <br />�} Building D Mechanical <br />PERMIT D Combinetion �] Plumbing <br />TYPE R Demolilion U Sign <br />U Spdnkler � — <br />k <br />�v�,p PHONE <br />y� �`_ <br />UcJ 9�D� 353- 8�0 �/l� <br />,,_ ,_ PHONE <br />��/3-/S"3 5 <br />9.� sT�� CONTR. LICENSE H <br />9��;� -� �,�cy�-d 992 P <br />Additlon AT SOUR <br />WORK � Alteretion ric <br />TYPE New <br />Repeir/Maint. Other <br />CONTRACT P910E OF WORK � 3 ��� Q �- CITY OF EYERETT LOCAL SALES 7AX CODE IS 3105 <br />WORK DESCRIPTION e O N S'ITL (nC � O l�� C �P� c:i C Gt ec� 'I"� `�T F�Q��� <br />Q� 1J �o +1 e �2 . <br />TYPE OF flXTURE OR ITEM <br />CLOSET <br />(WASH BASIN) <br />I KITCHEN S�NK 8 DISPOSAL <br />LAUNDRY <br />CLOTHES <br />URINAL <br />DRINKING <br />FLOOR OF <br />BACKFLO� <br />SINK (SEA <br />TYPE OF flXTURE OR ITEM <br />— A/HAMDLING UNITS <br />IC;ED AIR SYSTEMS <br />UNIT <br />RANGE H0� <br />WATER HEAT <br />METAL FIREPL <br />FIREPLACE W: <br />GAS FIRtP <br />GAS R,4N <br />GAS P N� <br />EX ST FAN <br />\ <br />I HEREBY CERITIFY THAT I HAVE FEAD AND EXAA7INED THIS APPLICATION AND KNOW THE SAME TO BE THUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINAC[S GOVERNING THIS TYPE OF WORK'NILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY � FIE <br />OWNER OF TH PROPERTY T�PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACT S W 1827 PC IAND 296.200 WAC. <br />�__�__ 3 /� �o Z <br />Siynature of ner ontractodAulhorized Agen Date �/� <br />