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) <br />� <br />( � <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS �C�O � <br />S.<o�c-�c- <br />LEGAL LOT NO.Z <br />DESC. <br />OWNER <br />Gar..E,c�� l� <br />TENANTNAME <br />CONTRACTOR <br />PHONE �yy� � <br />PROPOSED USE OF BUILDING <br />S FK- <br />CONTRACT PRICE OF WORK <br />�n� <br />PARCEL TAX I.D. M <br />i�l�'Doo-do`�l - DZvS <br />C�o `G( 7 <br />ADDRESS <br />►�'a �K 3zbS �.� <br />CONTACTNAME <br />� �U` W✓b�b�S <br />ADDRESS <br />Ti <br />// - a/ 1 <br />PERMIT N <br />'�lI I - d�� <br />PHONE <br />c{zs-sS�-��47 <br />PHONE <br />�n� <br />CONTR. LICENSE A <br />i.AKc= `Nr v a �� L <br />nBuilding DMechanical ndditbn <br />PERMIT [�j' Combinetbn B Plumbfng WORK B niteratbn <br />TYPE g Demolition Sign TYPE [�J'Aew <br />Sprinkler L� Repalr/Maint. <br />HEATSOURCE <br />Flectdc <br />es <br />OM�er <br />CtTY OF EVERETT LOCAL SALES TA% CODE IS �106 <br />WORK DESCRIPI iON <br />CanS ���Gr�ah or 17Z� <br />��S�c i� zc83 <br />e� � umwn OC� <br />NO. I n'PE OF FlXTURE 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 />Fi.00R DRAIN <br />Br1CKFLOW PREVENTER <br />SINK (SERVICE/8AR/MOP/ETC.) <br />Sr-'� <br />NO. I TNPE OF Fl%TURE OR REM <br />A/C — A/FIANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATEFS <br />CLOTHES DRVER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANOE <br />GAS PIPING <br />EXHAUSTFP.N <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLI�ATION 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 OTHEfl <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW IIND 2962f� WAC. , <br />