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F��RMIT APPLICATIVN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />14oZ sF Ev�rei'i` Mall wy # <br />LOT NO. <br />OWNER <br />�✓�re�-f- /i'1u I <br />�g � � ��able. �- � <br />TENANTNAME <br />�.�r��e�. <br />BLOCK I TRACT <br />c/��/MjEfZz�' M�GyANZC�L <br />PROPOSED USE OF BUILDING <br />1 �/02. <br />PARCEL TAX I.D. M <br />S.E �ve�Et� /�ll <br />CONTACTNAME <br />ADDRESS <br />9(v3� 153"� /��e. N.G, <br />RecQrtoAd, u�a. <br />Building Mechenical <br />PERMIT B Combination � Plumbing <br />TYPE D Demalition Sign <br />U Sprinkler <br />CONTRACT PRICE OF WORK � f��QU ' <br />WORK DESCRIPTION � �'\� �o(' �, �� C <br />NO. <br />TVPE OF FIXTURE OR ITEM <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 PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />moznco-oi � <br />PEFlMIT M <br />ZG � <br />ZIP PHONE <br />98zn8 (H z�355-� yy'-� <br />PHONE <br />ZIP CONTR. IJCENSE N <br />/l�t �RITMI 1 �3�M <br />Addilion <br />WORK Alteratlon <br />TYPE New <br />RepuidMaint. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />ov�- c� � l� �"o�v <br />NO. I TYPE OF FI%TURE OR RcM <br />_ A/C—A/HANDLINGUNITS <br />FORCED AIR SYSiEMS <br />� HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />N'ATER HEATER <br />METAL FIREFLACE/STOVE <br />_ FIREPLACE INSERT <br />_ GAS FIREPLACE <br />_ GAS RANGE <br />_ GAS PIPING <br />EXHAUST FAN <br />OTHER <br />Nea i- PuM. p. <br />I HEREBY CEPITIFY 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 BE COMPLIE� WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES 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 AUTHORIZED BY THE <br />OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 6NAC. / / <br />/1 <br />