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StTE ADDRE33 <br />380� �, <br />LECA LOTNO. <br />DESC. A HEW.T�• <br />OWNER <br />T� M vJ � v,o„1 y <br />TENANTNAME <br />N �4 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. f PERMIT M <br />�+�� aoSt22oa000yoo CO. <br />BLOCK TpACT <br />000 �j-OlJ Lp�' �QAwtS+�'NO'S 1�� M4,'no�.i� <br />CONiRACTOR n �� /� <br />PHONE a� r I^� `A <br />T�J <br />PROPOSED USE OF BUILDINC <br />�i4��E,S1 RL <br />CONTRACT PRICE OF WORK � i/� <br />Y <br />a�T' 3$0 � F��raa� <br />ICONTACT FOR PERMR <br />KA,-.�ra A�s <br />ADDRE88 <br />Building (((���jjj Mechan(cel <br />PERMIT Combinat(on � plumbing <br />7YPE Demdition Sign <br />Sprinkler <br />� � •f 2; - 3'�9- 85 <br />PHONE <br />�lbS • 3'39 - SsS 2r <br />ZIP CONTR. LiCENBE • <br />Mtlition HEATSWIRCE <br />ANereUo� <br />New pp <br />RepaiNMainL p�� <br />CITY OF EVERETT LOCAL SALEE TA7t CODE IB �1p6 <br />WORK DEBCRIPTION <br />E�J�aQG,r A S�coao- SiroE�t poP�s�-; las�w <br />f'�,'�ppCH. pY�'�'� A•a7 �,h�X.•„J l�cscT. <br />l_,�rna 99 <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 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 />A M�S'+�.� � �� ..� , �rs�1 <br />NO. I 7ypE OF FIXTURE OR REY <br />a�c —aHqNDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEAiER <br />METAL FIREPLACEISTOVE <br />FIREPLqCE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER S��a.: yGT�Ecro2fj <br />I HEREBY CERITIFY 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 WILI BE COMPLIED WITM WMETHER SPECIFIED MEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TME PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICN APPLICATION IS MADE AND I COMPLY WITH THE STA7E <br />CONTRACTORS LAW 18.27 RCW AND 296,2p0 VypC, <br />/ !� "^.�• C:/J� � � �'3 (o j <br />Si�nnwru or vwnailCpntfactodAufhnmu/ e..e..r .,_._ <br />DEBIT 3 CREDfT CARDS ARE NOT ACCEPTED <br />0 <br />