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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX t.D. Q <br />9air �9��w�f��, �r�i z�osos- oo�oys oo v <br />LOTNO. � BLOCK � TRACT <br />DESC. <br />p� ��n-o,� <br />PERMIT M <br />/'v/i0 -�/S <br />Of1�J .c'��IJH Z3� 7�9YGd/r. �/L. Lrl/���% f'Yk�3 Yzf2S�000S x zZ.6 <br />TENANTNAME CONTAC7NAME PMONE <br />�.r ,a ��r� C�us �3yJ/r y� zs� �.� .,�zu <br />CONTRACTOR ADDRESS 21P CONTR. LICENSE M <br />PNONE �L✓/VL��C— <br />PROPOSED USE OF BUILD�NG <br />W��O `'/i/o"'�/ <br />v�u�� � <br />CONTRACT PRICE OF WORK <br />Building QMechenical <br />PERMIT Combinelion U Plumbing <br />TYPE Demolilion U Sign <br />Sprinkler <br />TVPE <br />j") Additlon <br />' � Allerellon <br />F_� New <br />LJ Repeir/Meint. <br />HEATSOURCE <br />�Electrk <br />Oas <br />Olher <br />CiTV OF EVERETT LOCAL SAlEB TAX CODE IS 0105 <br />WORKDESCRIPTION qi.%0,�,,�� S/TL� `prt. C,('pjc�SO � P�'�j T/L' i^-T e`.C�si'>i✓� S�'0� — <br />� ._.. <br />Scwt2 � l�/{�,ri2 i� SEnv�c£ ESPKs.rso S/'�iNd •��'s�cy E�/.*ssSa 4�r+"/� �JS <br />� W� • <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />Bl1TliTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />LAUNDRY TFiAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOUN DRAIN <br />BACKFI.OW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />NJ. I TYPE OF FllCTi1RE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />N�AT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />RMfiER+KATER <br />ME'fAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANOE <br />GAS PIPING <br />EXHAUSTfAN <br />OTHER <br />EiSPRfs.s � M� <br />1 HEREt3Y CERITIFY T71AT I HAVE READ AND EXAMiNED THIS APPLICAl10N AND KNOW THE SAME TO �E TRUE AND CORRECT. ALL <br />PROVISIONS OF'1�WS AND ORIDINACES GOVERNING THIS TVPE OF WURK WILL BE COMPLIED WITH WHETHER SPECIFIEU IIEREIN OR <br />NOT. TI�E GRAPl71NG OF A PEFMIT DOES NOT PRESUME TO GIVE AUTIi(7RI1Y TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAI LAW REvUTATING CONSTRUCTION OR THE PERFORMAI�CE OF CONSTRUCTION. THAT I AM AUTNORIZED �Y THE <br />GWNER OF THIS AROFERTV TO PERFORM THE WORK FOR WHICH APPLICATIOPI IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW�B.27 RCW AND 296.200 WAC. <br />— �N� /J/�8�/v <br />