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�RMIT APPLICATf'i�N <br /> �r CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425457-8810 - FAX 425-257-8857 <br /> I�fj30 — 0�� <br /> ; SITE A�ORESS PARCEL TAX I.D.N PERMIT w <br /> � � LC`c� E�ve�c.+� � � O O 5 (�3 00�100 - 0 ,j <br /> I' i,c.-�,A LOT N � ! � V TR S A l,l� �L� <br /> DE�C. � b <br /> � O�VNEH ADDRESS ZIP PMONE <br /> �\�� 3c��5, 3`id�. 81�� A� � , � E. �u�e�'i'� ���,CS �IZS 3�f?-136U <br /> i TENANT NAME COMTACT NAME PNONE <br /> i <br /> I N��c�cL: B�os. joel N�ac�C l-12S- 2�io-�.�IZ9 <br /> I CONTRACTOR ADORESS ZIP CONTR.LICENSE N <br /> I Hc�o,�� 8c�5. 3�zz ��+� A�t n�E ��e�e�-�- �ZoS <br /> � PHONE <br /> i NZ5� 3�1� - �360 ��Ac..���12.DZ I <br /> , PROPOSED USE OF BUILDING Building � A4eChanical Addilion MEAT SOURCE <br /> , 1 ' PERMIT R Combination Piumbing WOHK � l.Ilmntion � Electric <br /> , LJ— `��� � TYPE D Demolition Sign TYPE New Gas <br /> I T U Sp�nkler RepairRdaint. Other <br /> ' CONTRACT PRICE OF\YORK I'1_Oe CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> V <br /> i WORK DESCRIPTION <br /> ven�-,�y ��- �c��yehc�ds, c,1o+t�es dcye�, a�d �.ns <br /> i <br /> ; PLUMBING MECHANICAL <br /> N0. TYPE OF FlXTURE OR RER1 NO. TVPE OF FI%TURE OR ITEM <br /> WAT[R CLOSET A!C—A/HANOLING UNITS <br /> BATHTUB FORCED AIR SYSTENS <br /> � LAVATORY (WASH BASIN) _ HEAT PUMP <br /> SHONlER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL � CLOTHES DRYER <br /> DISHWASHER t-� RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URiNAI. FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> 6ACKFLOVJ PREVENTER GAS PIPIN� <br /> SINK (SERVICE�BAR/MOP/'cTC.) .1.(Z EXHAUST FAN <br /> OTHER _ OTHEf, <br /> i �-E^.E9Y CERITIF'f THAT I HA`JE PEAO AND EXAtAINED THIS APPIICATION AND KNOW THE SAMC TO BE TRUE AND CORFiECT. ALL <br /> PFCviSIONS OF UWS AND OP.IDiNACES GOVERNING THIS TVPE OF WORK'NILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> t�G7 THE 3RANiIP�G OF A PERIAIT DOES NOT PRESUIdE TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE FROVISION OF ANY OTHER <br /> ;T:.Tc OR LGCAL LAW REGU'_A71tlG CONSTFUCTION OR THE PERFOR�dANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> GW.'�ER OF TMIS PROPERT"I TO PERFORM THE'NORK FOR WHICH APPLICnTICN IS�dADE AND 1 COMPI.Y WITH THE STATE <br /> �G`�i RAC RS I.AW 1�27 RC'TI AND 296200 WAC. <br /> ` � _ �' �p� <br /> ° �gna1 �ol OvmeuCo t c uAulhon ed Agent Dale <br /> \ <br /> ��� <br />