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SI7E ADDRESS <br />r. i. Sw <br />LOi N0. <br />TENANT NAME <br />�N p4Y/�//a/l,p'S <br />o� ^rii, - . . <br />PERMIT APPLICATION <br />CITY OF �VERETT pERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, Wq g8201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />�E //�'S <br />Lo.v C> f3i <br />CONTRACTOR U w�C� <br />PHONE <br />�/ZS - '�uu_ <br />PROPOSED USE OF BUIL�ING <br />%3/.� SL-'- �/� � � <br />CONTRACT PqICE OF WORK <br />o�+nn uW�.nIrIION <br />NO. I TYpE OF FIXTURE OR ITEM <br />' �����VJCI <br />BATHTUB <br />LAVATORY (WqSH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTIIES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLO',N PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTIiER�_ <br />PARCEL TAX I.D. # <br />/ _ - c�.s ` ' � fr — <br />THACT <br />AUURESS <br />/Z90 /�UC.O� <br />�ivcC' nii�,� Yt� �4/ <br />CONTACTNAME <br />;3,/1/�y ivoRCGu.�/�rJ <br />��oi v /.! J /.l L—Z-- LL�2 <br />ADDRESS <br />r3v2 j� <br />cn <br />PERMIT a <br />3oiir <br />'%��E �/vl C-Y2/ <br />PHONE <br />z"�-3yS�—/6%%Z. <br />LS -23L-33'& <br />ZIP CONTR. LICENSE q <br />Buildin �`� � <br />PERMIT g Mechanical Addilion HEATSOURCE <br />Combinalion Plumbing WORK Allernlion <br />TYPE Demol�lion � gi9� �,PE � Electric <br />Sprinkler � NeW I ces <br />Repnir/Meint. Olher <br />iOU ����" CITY OF EVERETT LOCAL SALES TAR CODE IS 3105 <br />Nn• I TYPE OF FIXTURE OR ITEM <br />� A/C-A/FIANDLING UNITS <br />FOFCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLO7'HES DRYER <br />RANGE HOOD <br />WATER HEATER <br />META� FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER�_ <br />� ncneer ceHl rIFY THAT I HaVE READ AND EXAMINED THIS APPLICATION AND KN04V THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINqCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI7H WHETHER SPECIFIED HEREIN OR <br />NOT. TH[ GRANTING OF q pEFMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEI THE PROVISION OF qNY 07HER <br />S7ATE OR LOCAL LAW REGULATING CONSTRUCTION Ofl THE PEFiFORMANCE OF CONSTRUCTION. THAT I AM AU7HORI<ED BY THE <br />OWN�f7 OF THIS PROPERTY TO PERFOR TI1E WORK FOR WHICH APp�ICATION IS MADE AND I COMPLY WITH'fHE STATE <br />C(JN�fjiqATO�LA1W� g,p7 RCW AND 2g�00 WAC. <br />'�! <br />tO�zS�o j <br />