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� <br />RE�rtlU11T A►PPLICATiO�v <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEPAR STREE7, EVERE7T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE AOOAESS <br />f3��C, E�C�C`--1�--LElJ �A%%y <br />LEGAL LO7N0. I BLOCK <br />OeSC. I <br />PARCEL TAX I.�. N <br />Zccol 21Z.5oo I <br />TFAC7 <br />0 <br />IC �-lv� - I <br />PERMIT N <br />G 04D'� - O�13 <br />I C�62err -�-ou�Cr32l�lc-r�5: L�c ����� C�et�c�2FEn( ;,�ny , Cvc-Iu:7( q8zo� <br />� TENANTNAME CONTACTNAME PNONE <br />; Wctz�D C;'/ri �-�p_GC, t-IoFFC- i LyZ��-432-�i�K�l <br />CONTR4CTOR ADppESS ZIP CONTR.LICENSEY <br />tice F�ec Peou-cnc�l5rsr�a�s.�r.ie. 2�n�� �'IAP�L �n��G-Y EIiJySE <br />PHONE �} /' �-�n��c. �ln�i.cY �Jn �1ESU3a ����rl(�5 �4�P� <br />s�} Z�J '�J Z' r�d{� � / <br />PROPOSED USE OF BI1IL�ING <br />L' oF���cec�a� <br />CONTPACT PqICE OF WOFK <br />� Building h7cchanicul <br />PERh71T Combination R Plumbiny <br />TYG[ ❑cmolition p Sign <br />Sprinkier <br />�Addition <br />Allemtlon <br />New <br />Repair/6laint. <br />HEeT 5011RCE <br />�Elcctdc <br />Gas <br />Olhcr <br />CITY OF EVERE7T LOCAL SALES TG% COPE IS 7105 <br />I WOPRpESCRIPTIaN <br />(=1kE �SP�'i��=�EK- IcniAN� lMFKOVfMC-alr�— Z4 l-IL-A�S <br />' no. � 7YPE OF FIXTURE OR REM <br />WATER CLOSE7 <br />_, BATN7UB <br />_ �qVATORY (WASH BASIN) <br />_ SHOWER <br />KI7CHEN SINK S �ISPOSAL <br />._ DISHWASHER <br />_ LAUNDRY 7RnY <br />CLOTHES WASMER <br />_ Uf�INAL <br />DRINKIN6 FOUNTAIN <br />FLOOR DfiAIN <br />GACKFLUW PREVENTER <br />^ SINK (SERVICE/BAR/MOFlC-TC.) <br />_^ 07HEF <br />NO. I TYPE OF FIXTURE OR ITEM <br />AJC — A/HANDLING UNITS <br />FOFCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOO❑ <br />WaTER HEATER <br />METAL FIRE°LACElSTOVE <br />FIAENLACE INSERT <br />GAS FIREPLACE <br />GAS FANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER_ <br />I i!GFE9Y CEFITIfY THAT I HAVE RGAD ANO EXAMINED THIS APPLICATICN AN� KNOV! 7HE SAA,1E TO 66 TqUE AN� CORI7ECT. ALL <br />PROVISIONS DF lAWS ANU Uf�11DINACES GOVERNING THIS IYPE OF WORK WILL 6E COMPLIE� WITH WHEfHER SpECIFIED HEREIN OR <br />.tiUT. THE GR�NTING OF A PER�AIT �OES NOT pRESIJME TO GIVE AUTHOqIN TO VIOLI+TE OR CANCEL THE PflOVI510N OF ANY OTHER <br />5'AT[ OR LOCAL LAW (iEG1Jl1�TING CONS7RUCTION OR THE PERFORMANCE OF GONSTRUC710N. THAT I AM AUTHOFIZED BY THE <br />C�vNER OF Tt115 PROP[RTY TO PERFORM THE WORK FOR WNICH APPLICA7ION I51dADE AN� I COM11PLY WIl'H THE STATE <br />COIJiR:1CTORS l�iW 10.2) RCW AND 296.200 WAC. <br />�i - •� .. o�i <br />