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PE��`MIT APPLICAT1016.2 <br />r CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 - FAX 425.257-8857 Iz <br />SITE AOOgESS I PARCEL TAX I.D. x <br />�#300 <br />� ver reen l,L�y, <br />LEGAL` LOT N0. BLOCK TRACT <br />DESC.1 <br />I I <br />OWNER ADORESS ZIP PHONE <br />Y)\C-V)Ck � CI�r,�_ <br />TENANT NAME <br />CONTACT NAME PHONE <br />\A <br />� <br />I <br />CONTRACTOR ADDRESS , ZIP CONTR. LICENSE Y <br />L -,-D L) n ��r� Q; I✓�t�c i- cn; � ti1 C. 1493Z tj I vile ►-ur s� F3)vc� C�'Ow U APO y <br />PHONE p U�1, <br />ti25 418/ 7%I!- q <br />PROPOSED USE CF BUI'-DING <br />BwldinJ ❑❑❑ A1eChanical <br />PERMIT Combination Plumbing <br />WORK <br />Atltlttion <br />Alteration <br />HEAT SOURCE <br />Electric <br />TYPE Demolition Sign <br />TYPE <br />New <br />QR <br />Gas <br />Sprinkler <br />Repair;Llarnt. <br />V <br />(, Other <br />CONTRACT PRICE OF',YORK Z� SCd <br />I CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />WORK DESCRIPTION <br />RM Z8 heads <br />PLUMBING <br />MECHANICAL <br />C��O <br />NO. TYPE OF FIXTURE OR ITEM �SQ� <br />NO. TYPE OF FIXTURE OR ITEM <br />BATHTUB UBLOS� �(�Q �a �( <br />-- <br />A/C - A/HANDLINGUNITS <br />LAVATORY (WASH BASIN) G`�O 0 1 g.?' <br />— <br />HEATED AIR SYSTEMS <br />SHOWER Q�Q' �rQ' I' <br />KITCHEN SINK & DISPOSAL CJ� �� <br />_ <br />UNIT HEATERS <br />DISHWASHER <br />_ <br />CLOTHES DRYER <br />RANGE HOCO <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />_ <br />WATER HEATER <br />URINAL <br />_ <br />METAL FIREPLACEISTOVE <br />_ <br />_ DRINKING FOUNTAIN <br />— <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />_ FLOOR DRAIN <br />SIN KSERVFLOW PEJBAR/ <br />_ <br />_ <br />GAS RANGE <br />_ SINK (SERVICBBAR/MOP/ETC.) <br />C <br />_ <br />GAS PIPING <br />FAN <br />OTHER <br />_EXHAUST <br />_ <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 ORIDINACES GOVERNING THIS TYPE OF WORK WILL <br />BE 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 I AM AUTHCRiZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1&27 RCN AND 296.200'NAC. <br />SagnalBre olCnvneu ontracl UAUIhon2ed Agent Dat <br />p0.Lfi �, r(AA 1 <br />IL <br />