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� <br />l__`�,�J, ,.—,,, <br />�ERMIT' APPLICA�N <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 />960� �U�'��tz�/J w'+�i F' <br />LEGA lOT NO. BLOCK <br />'JE�I <br />NAME <br />�leu C�t��rl„s k"l,a <br />CONTflACTOR (NolJt.j�Ll/hN Cy/(ILL <br />�- N 1jn2N'�7/oN�G S/�N C � � <br />PNONE ['.L�'_ /1}'�-O�rJ I <br />PROPOSED USE OF BU�LDING <br />PARCEL TAX I.C. p <br />'�.cM , <br />TRACT . — <br />ADORESS <br />/s'�i G7y�l j'�-,s.� £J�k <br />ICGNTACTNAME <br />J eirl'�i.e K 1'ril <br />PERMIT q <br />SDa07 -Gd� <br />ZIP PHUNE <br />ADDRESS ' Z�p <br />l�F/S� /f"'r ig s' �>.,�. Faa2tr-/, w� <br />i�3�� <br />Buiiding Mechanical <br />Peah�IT R Combinalion �Plumbing <br />TYPE D Demo�ition Sign <br />U Sprinkler <br />CONTRACT PRICE OF WORK 3s'ZU� y� <br />PHONE <br />s�Z.� -%i�i �� <br />CONTR. LICENSE M � <br />ZNT�Jtsco i4 D1� <br />Addition <br />WORK Alleralion <br />TYPE ew <br />RepaidMaint. <br />HEATSOURCE <br />Electric <br />Gas <br />Olher <br />CfTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORKDESCRIPTION LNf7jhC zGLI(/7/N/y7(rp JYNC7�-,� C'�I.�I/NG7 S/G)�(/ /�y�X IJ'�o�cE I-p`X/v�-c•. <br />ti"�s�/G��x3�'�CfGtsfr aNT/�E S7�/ccvu/,+cc 7FtRtl rTN2uc7'ii.�t. <br />NO. � TYPE OF FIXTURE OR ITEM <br />_ WATER CLOSET <br />_ BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_, SHOWER <br />_ KITCHEN SINK & DISPOSAL <br />_ DISHWASiiER <br />_ LAUNDRY TRAY <br />_ CLOTHES WASHER <br />_ UR!NAL <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVICFJBAR/MOP/ETC.) <br />_ OTHER <br />NO. � TYPE OF FIJ(TURE OR ITEM <br />+ n/(: - A/HANDLING UNITS <br />_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />_ CIOTHES DRYER <br />_ RANGE HOOD <br />WArER HEATER <br />MET4L 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 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE Ti;UE AND CORRECT. ALL <br />PROVISIONS OF LAWS AN� ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COM1IPLIED 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 FEGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COM17PLY WITN THE STATE <br />CONTRACTORS LAW 18.27 j�296.200 WAC. / / <br />� l'\ � L� °Z <br />'/ <br />