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� <br />� RMIT APPLICATI�,N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITEADDRESS�QDS SE �ER�ETTI`� hI�pARCELTAXI.D.ik PERMIT# <br />�vEti�1`t' wti' 2 05 t D40 SDD S03oy-pc7 DD <br />LEGAL l9TI'10. S'L�G. wKs� :RAC�T R.r.l (�E <br />DESC. � S /1S � .�,� <br />EVE2ETT MoL1- �?�.�e+.0 <br />Di L.L.G. <br />TENANT NAME <br />%� t.D STD �.l E �RE.4M ER <br />CONTRACTOR <br />"�E Sir��.l FaGTOR�{, t�lG. <br />PHONE <br />� f.- / ' V L �� � / /�/4 <br />PROPOSED USE OF BUILDING <br />Z-eTa i �li� <br />T U R-d ��D 5''r'E <br />S4+ 6fGM,iti! <br />CONTACT FOR PERMIT <br />PHONE <br />M��LBalE G��o�.I.JE�..L ?6l0 . �j04% <br />ADDRESS ZIP CONTR. LICENSE # <br />8iS-8�` � <br />k�R.k.c.a�ln,w�.`18033 si�,�1F,�XFe2olb <br />Building Mechanical <br />PERMIT R Combination �Plumbing <br />TYPE g Demolition Sign <br />Sprinkler <br />CONTRACT PRICE OF WORK �� 75D .�b <br />Trae <br />Add!tion <br />Alteration <br />New <br />RepaidMaint. <br />HEATSOURCE <br />D Electric <br />B Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />WORKOESCRIPTION ��S,�,aLL l'�1 5�-�' ��(TERh14I_LY ��1�7�1��['�'�ji <br />/ <br />�LUS� MD Un1T G1.�a•�J...lE l- L.ETI'EtZ+S <br />W IL L. L <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BNTHTUB <br />LAVATORY �WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISFiWASHER <br />LAUNDRYTRAY <br />CLOTHES N�ASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />o�l s2'�art �L�vaTa� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />R4NGE 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 AN� 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 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 PERFORNANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORAI THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CON LAW 18.27 RCW AND 29 AC. , <br />_- � __,�' 41o.25.D'�. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�IL <br />