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� <br />PE'RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-6810 <br />SITE ADDRESS <br />� y �d� <br />LEGAL LOT N0. <br />DESC. <br />OWNER <br />/1?/�r_� G <br />TENANTNAME <br />CONiRACTOR <br />�v1%`726/L�2ryt/ 5% S/'h3� <br />PHONE ,��� _ �l/� <br />PROPOSED USE OF BUILDING <br />n" I PERMIT <br />K.�3/✓�.i�%%�Z TYPE <br />PARCEL TAX I.D. M <br />CONTACTNAME <br />PERMIT # <br />M.O► I 1-ccZ <br />PHONE <br />PHONE <br />ADDRESS CONTR. LICENSE 11 <br />/6ir c. �/t�i� vi� DJ�, �',S;az�•� <br />Building Mechanical Addition HEAT SOURCE <br />Combination lumbing WORK iteratian Eiectric <br />Demolitlon Sign TYPE �ew �Gas <br />Spnnkler L � Repair/Maint � Other <br />CONTRACT PRICE OF WORK y3ao a' <br />WORK DESCRIPTION <br />�is �-z�. �'�s ���� <br />N0. I TYPE OF FlXTURE OR �TEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEri <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />N0. � TVPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />Z FORCED AIR SYSTEMS <br />_ HEATPUMP <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 />_ EXHAUST FAN <br />_ OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORI�INACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIiY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER IS PROPEPTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND i COMPLY WITH THE STATE <br />CO ACTOFjS LAW 1827 RCW AND 296200 WAC. <br />