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i � <br />PEf�MIT APPLICATION <br />� CITY OF EVERETT PERfVIIT SERVICES <br />I 3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 4:5-257-8857 <br />SITE ORESS <br />� ��� � <br />IEGAL LOT NO. <br />DESC. <br />r�7 (l � <br />BLOCK <br />�1= C� ,�yh,��_ ��,�<<�� // <br />TENANiNAME <br />- �„ ,,. <br />CONTRACTOR <br />aHorie <br />� <br />I PARCEL TAX I.D. # <br />j I�-�-iv3q390oo�c��ivo <br />TRACT <br />70 F� � !�/iJ� <br />CONTACTNAME <br />n'Ia.�% <br />� ADDF!ESS , <br />/Ji � <br />I I � � l' ., !r�i� C�%Z •�-�.i <br />� J <br />PRC�POSED USE OF BUILOING <br />,L�-�$`J J-�'-��� U � n <br />CONTRACT PRICL OF WORK <br />WORK DESCRIPTION <br />��1 /�2 �� _. . o <br />� <br />��� ��� � 0�� <br />P RiAIT a <br />��//' D// <br />�3 yas �s<��as+ <br />PHONE <br />- ZIP <br />.�., .� <br />��s- s��- 3�i � <br />CONTR. LICENSE M <br />8uildina Mechanical AdAilion HEAT SOURCE <br />PERMIT �'Combinalion R Plumbing IWORK_� Alteralion Electric <br />TYPE D Demolitinn ❑ Sign TYpE "(ew Gas <br />U Sprinklef rlepaiuMaint. Other <br />CITY OF EVEpETT LOCAL SALES TAl( CODE IS 3105 <br />� -�; rn .� -�� <-2 .r, oi� a�i � _5 �' rs�-vt_ ` G.J �--4-C� <br />irU. I TYFE OF FIXTURE OR ITEM <br />WAT[R CLOSET <br />_ BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />� KITCHEN SINK 3 DISPOSAL <br />DISHWASHE9 <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />UFihVAL <br />_I DRINKiNG FOUNTAIN <br />FLOUR DFAiN <br />B�CKFLOW PREVENTER <br />� SINK (SERVICE/BAR/MOPlETC.) <br />N0. � TYPE OF FIXTURF OR ITEM <br />AH: — AlHANDLING UNITS <br />FnRCED AIR SYSTEMS <br />HE:�T PU�1P <br />UNII" h :A fERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE (NSERT <br />GAS FIREPLACE <br />GAS FANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HcREBY CEFIiIFY'HAT I HA'JE FEAD AND EXAMINE� THIS APPLICATION AND KNOW TMC SAME TO BE TRUE AND CORFECT. 4LL <br />PFCVISIONS OF W WS ANL` ORIDINACES GOVERNING THIS TVPE OF WORK WIIL BE COMPLIED WITH WHETHER SPEC�FIED HEREIN CR <br />NOT THE GRANTING OF A?ERMIT �OES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OF LOCdL LAW REGUL..�TING CONSTRUCTION OR THE PERFORMANCE JF CONSiRUCTION. THAT I AM AUTHOHIZED 8Y Tk:E <br />OWNER qF THIS PFCPER7Y TO PERFORh1 THE WORK FOR WHICH APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br />COty7RACjOAS L1lY iy27 RCW AND 296200 WAG. <br />