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JUL-2_�-02 TUE 04;44 PM EVFPFTT PERMIT SERVICES FAX NO, 42c 257 8857 <br />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 I.D.4 PERMIT <br />5Y1?�1 �nyra,. lnJ°`i , „e,ctlf 2oo <br />g OsNx 01 vaov I � 9 <br />LEGAL{ �t BLOCK TRACT <br />LO"O. <br />TENANT <br />C Ei-C, t <br />CONTRACTOR <br />W` r;?p-� <br />PHONE <br />PROPOSED USE OF 13UILDING <br />60f qz' <br />Z-i22- Col <br />CO TACT AME <br />CLLi tm{ (J tdk, Av W <br />ADDRESS <br />Building [� Mechanical <br />PERMITISprinklor <br />Combination U Plumbing <br />TYPE Demolition u Sign <br />CONTRACT PRICE OF WORK $ 511 CoD <br />A <br />`-3�0� �''i2 �j 4LS 2`�t• ZcZ1 <br />PHONE <br />4Z1 —1-18• IS3o <br />ZIP CONTR. LICENSE 4 <br />t3ao5 W%LC_I�eLrl� <br />(i Addition HEATS OunCE <br />iK Alteration Electric <br />E SNew i5 <br />Repalr/Mnint. Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310S <br />WORK UESCHIPTION <br />l e� G�� �tM�w �,,�r -k5 -�a �� 'e)t' ' lol kid it� �ti �G, ,D2c,, <br />ad wt t LA c, i� u E. VC- o,� �'i � I ec� �e <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />_ KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />_ URINAL <br />DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />BACXFLOW PREV ENTER <br />SINK (SERVICE/BAR/MDP/E-TO.) <br />OTHER — <br />No. I TYPE OF FIXTURF_ OR ITEM <br />A/C — AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <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 APPLICATIGN AND KNOW THE SAME TO EE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL SE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF 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 1 AM AUTHORIZED UY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RCW AND 296.200 WAG, <br />S. I • U-1- <br />9 <br />