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SITE ADDRESS <br />LEGA �L0�0. <br />�' <br />NAME <br />� PERMIT APPLICAI�ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX 425-257-8857 <br />C� <br />PARCEL TAl( I.D. # <br />7RACT <br />ADDRESS <br />.s0/Go/6� <br />CONTACT FOR PERMIT ' <br />PERMIT # <br />/ `f2.� LS$'- //O <br />PHONE <br />� �� GU�7�,� Yz� z3S-i�Z6' <br />CONTRAC�pv/'/(c�r �T�S 7`,!G'i'tliY�Dl'nC ��fLO� 21P CC��i�i�.ss�l�2�i2 <br />/ G t� <br />PMONE �IzS _ ZS_�I— ZI%I '360� <br />PROPOSED USE OF BUILDING <br />C�l `'Sf�i.,Ge <br />PERMIT R <br />NPE D <br />U <br />CONTRACT PRICE OF WORl� G 2 QO <br />t� V 7 <br />Building �p Mechanical <br />Combination ���SPlumbing <br />Demolition D Sign <br />Sprinkler <br />�Additlon <br />fUteratlon <br />New <br />Repair/Maint. <br />HEATSOURCE <br />n Electric <br />��as <br />V Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION / �/� <br />—�hS.i�{l� /VGW I7u�7���h1' Sj9)'2.r. /✓A7`�r�rS Q��� {�7%v.a7�"' 1+n <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASNER <br />URINAL <br />DRINKING FC)UNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER <br />NO., � TYPE OF FI�,'TURE OR IiEM <br />A/C-A/HANDLING 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 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED TFIIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETFiER SPECIFIED HEREiN OR <br />NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION 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 THE STATE <br />CONTRACTORS LAW 78.27 RCW AND 296200 WAC. <br />,� -�'L -03 <br />