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SITE ADDRESS <br />LOT NO. <br />:ve�e�t- Y�all <br />P�RMIT APPLICATIrN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, VVA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />#/%Z <br />TRACT <br />ly UZ �v� r�-li- Yl�al� (,�,�c <br />TENANTNAME <br />�C�C Sv►'1 <br />CONTRACTOR rQ �� �IY� <br />PHON� `/Z.S' `IO I ' �(f�y� � <br />PROPOSED USE OF BUILOING <br />�oYn me v�c i a/ <br />CONTRACT PRICE OF WORK <br />CONTACTNAME <br />{�� rk -�-1ol-e <br />PERMIT k <br />�lca3 � 'Oa <br />�ve :�e1t, �v�. <br />PHONE <br />y/25� �/Fl- 7lvloq <br />%Y,.,,t�C ADORE 3 LP CONTR. IJCENSE M <br />v�� h�. J�n�� CI!Ow.VFPDU�/[.L <br />�/93Z CJ• �l'I�y���n ,�l �� s8o��ie/% G�� ��o/Z <br />Building D Mechanical Addition HEATSOURCE <br />PERMIT B Combination u Plumbing WORK � Altera�ion � Electric <br />TYFE D Demolition U Sign IYP� New Gas <br />U Sprinkler Repair/Maint. Other <br />CITY OF EVEREIT LOCAL SALES TAX COOE IS 3705 <br />WORK ESCRIPTION <br />�, 3-� sprmkleY hea�s <br />,. <br />NO. � TYPE OF FIXTURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK S DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />i CLOTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOF DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/(: —AlHANDLING UNITS <br />FORCED AIF SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EYHAUSTFAN <br />OTHER <br />I HEFEBY CERITIFY THAT I HAVe READ P.ND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PROVISIONS OF WWS ANO ORIDINACES GOVERNIVG THIS TVPE OF WOFK WILL BE COMPLIED WITH WHEfHEF SPECIFIED HEFEiN OF <br />NOT. THE GRANTING OF A PERMIT COES NOT PRESUME TO GIVE AUTHORIN TO VIOWTE OR CANCEI 7HE PROVISION OF PNY OTHER <br />STATc OF �OCAL lAW FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTiOf1 THAT I AM AUTHORIZED BY THE <br />OWNEP OF THIS PFOPERN TO PERFOR61 THE WORK FCR WHICH APPUCATION IS MAOE AND I COMPLY WITH THE STATc <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. � <br />Signalure of OwnenContractovAuthorizetl Agent Date <br />/Z- � <br />