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� <br />PERMIT APPLICRTION <br />Cli'Z' OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-Sf310 - FAX 425-257-8857 <br />SITE ADDpESS PARCEL TAX i.D. q <br />i 3�z yZ 5t C���}+ Nlpll 1ti'w� <br />DESC� LOT t:4. I BLOCK TRACT <br />TENANT NAME <br />Ma�-,�� � <br />CONTRACTOfl <br />1� � c�tar�KA�S <br />PERMI7 q <br />61�I i <br />CONTACTNAME PHONE <br />��►ell �,��ec.� I\l��-�r� 4Z� 34y- �9g 2 <br />ADDRESS ZIP CONTR. LICENSE A <br />���j�t��1 � 3oz %z S E���'�t-R MY+�L w� <br />g�7. �v��-� W�! <br />PROPOSE� USE OF BUILDING <br />Building Mechanical <br />PERMIT Combination � Plumbing <br />TYPE Demolition Sign <br />Sprinkler <br />...nnn�a•..� rnict Vh WOfiK �1 �'�^ Oc7 <br />1 �i�J <br />WORK DESCRIPTION <br />��:, �a �a'� �� �n�, C���e �`a���,2,w� <br />NO. I TYPE OF FIXTURE Op 11"cM <br />_ WATER CLOSET <br />_ BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK 8 DISPOSAL <br />_ DISHWASHER <br />_ LAUNDRYTRAY <br />_ CLOTHES WASHER <br />_ UFiINAL <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERViCE/BAR/MOP/ETCJ <br />_ OTHER <br />Addition HEAT SOURCE <br />WORK Alleretion Electric <br />TYPE New � Gas <br />Repair/Maint. Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FOFCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />FANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPI.ACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br />PROVISIONS OF Ld�YS AND OFIDINACES 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 TNE PROVISION OF ANY 07HER <br />STATE OR LOCAI LAW REGULATING CONSTRi1CTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNE OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS hIADE AND I COMPLY WITH THE STATE <br />CQN�CTORS LAW 1827 RCW AN� 296.200 WA6'1 <br />��`z�\ol <br />'l� <br />