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SITE ADDRESS <br />LOT <br />PERMIT APPLICATIO�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-3857 <br />?,� �i�/,J � FJoi 01'7 OD <br />„r t � <br />U� <br />BLOCK TRACT <br />ADDRE <br />; � l ►� T�►�,�5't' l�1022 <br />TENANTNAME <br />�,Q,�n, '�OV�E�nY�jo S�.�dU.w� Ih° <br />�� <br />CONTRACTOR /:,,,y.� �, � ^ . , /'� ��.t— <br />c �n� r��, v--� l.ei <br />P�:��.� C2o6 )�2 (-- � l I l <br />PROPOSED USE OF BUILDING <br />CONTRACT P7iICE OF WORK <br />PARCEL TAJ( I.D. M <br />'l ZO lD r�5o� Z <br />/IVv 1 V <br />CONTACTNAME <br />C����� <br />ADDRE55 <br />42s Pov�.� u.a �e. �l <br />5�.. 4�3 �' s e�e <br />Building D Mechanical <br />PERMIT �COmbineti0n [� PlUmbing <br />TYPE Demolition L� Sign <br />Sprinkler <br />WOHK DESCRIPTION <br />�2,YY;�M"r Ivn�oYbv�Zr'l?.vi�: <br />NO. I TYPE OF FIXTIiAE OR REM <br />WATF.R CLOSET <br />BATHfUB <br />LAVATORY (WASH BASIN) <br />SINK & DISPOSAL <br />LAUNbPY TRAY <br />CLOTf1E�SHER <br />URINAL <br />DRINKING F WNTAI <br />FLOOR DRAIN X <br />SINK <br />s <br />(2 `IS t.�3 (�o6,�i3-3 (��' <br />PHONE <br />C42S�[��' -�7� � <br />LP CONTR. LICENSE M <br />�8i� Ga�"�e,�Vcs R qz � 3 <br />Addilion I HEAT SOURCE <br />Alterallon R Electric <br />New �..f Gas <br />Repeir/Main�. V Other <br />CITY OF EVEREIT LOCAL SALES TAX COOE IS 3t05 <br />pP�yv�. � s l,�cJ w aR.2. ��¢-t�.� l^�.V�d.+C� (ZesivaSl�" , <br />V�W o'� C!� . <br />NO. <br />TYPE OF Fl7(TURE OR REM <br />A/C -A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />LOTHES DRYER <br />R GE HOOD <br />WAT HEATER <br />METAL REPLACE/STOV <br />GAS FIREPLACC� <br />GASRANGE � <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CEAITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORAECT. ALL <br />PROVISIONS OF LAWS AND ORI�INACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PliE5Uh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEFi <br />STATE OR IOCAL LAW RE ULATING CONSTrIUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPER TO I'ERFOi;M THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LA1M 182 F�QtN�NO 296.200 WAC. _ <br />I �•'LI �� <br />