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�� <br />� <br />SITE ADDRESS <br />� G(� rll'� <br />LEGA LOT N0. <br />PE�_�MIT AFPLICATIO_� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-b857 <br />6LOCK <br />� <br />TFACT <br />PARCEL TAX I.D. H <br />:��,���•��o���;/cc� <br />'d- 5.�4�� <br />��-r9 -o y <br />PERMIT d <br />I� �lll ' L,r <br />�� � �n��.�l i r_. (',t �� r-. .l c� �����. 7,. _. C L �_ SS S S. f- /ou,...– S¢ �`�J-t .j.�Z�i � LvL l-il�v_,_.f: ,i %CC�'I I <br />TENANTNAME CONTACTNAME PHOfJ <br />�-1� r� �3�0�� �T � ��,�i-.� �<:<<< :�s3-�>���. ��;� <br />CONTAACTOFi , AD�RESS � ZIP CONTR. LICENSE k <br />i-�� 1�,,;r �= .� ��c,4«��r;.., T:,c . J,o7 70.#�, A.c� �_. ��-c ��,� �i b�iJ `i <br />PHONE �. , � — � , c � . C <br />�.s 3 i<�L ;�,� l�' 9AT 1'-� r r c! r�. <br />PflOPOSED USE CF BUILDING <br />Building Mechanical <br />PERh11T Combinalion Plum6ing <br />TYPE � Demolitian Sign <br />C�I Sprinkler <br />CONTRACT PRICE OF WORK -i, � i�.n `'`' <br />�Atldition HEATSOURCE <br />Altemtion � Electric <br />New Gas <br />Repair/MainL Olher <br />CITY OF EVERET'f LOCAL SALES TA% CODE IS 3105 <br />WORK DESCRIPTION <br />i�1�. �^Pn�Y �n� r}:,�.; o�J���L2� J C.�i�iii��/L , <br />I v <br />NO. I TYPE OF FIXTURE OR ITEPA <br />WATER CLOSET <br />BATHTUB <br />LAVA� ORY (WASH BASIN) <br />SHUWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PFEVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHEF <br />NO. I TYPE OF FIXTUPE OR ITEM <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 />EXHAUST FAN <br />OTHER <br />I HEFE9Y CERI7IFY'HAT I HAVE REND AND EXA�dINED THIS APPLICATION AND KNOW THE SAME TO BE TfiUE AND CORRECT. ALL <br />PROVISIONS OF L1W5 AND ORIGINACES GOVERNING THIS TYPE OF WOPK WILL BE COMPLIED WITH WH�HER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERPdIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />crqTE OR IOCAL LAW REGULATING COMSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />!ER OF THIS PROPERTY TO PEAFORM THE `NOHK FOR 4VHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />'TRACTORS LAW 18.27 RCVJ AND 29620C WA��. <br />,� IJ��I•� <br />