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PLIMIT APPLICATIG,J <br />CITY OF EVERETT PERMIT SERVICES <br />.3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS STE. � t PARCEL TAX I.D. # P MIT a <br />3c) E E ��y�o�- Uv/ <br />LEGA LOT NO. BLOCK TRACT <br />DESC. <br />OWNER ADDRESS ZIP -- PHONE <br />TENANT NAME `` 3' 87 <br />1 \ CONTACT NAME ,,/ 'Z PHONE <br />Cc�u N T 1 I l IC Gbix 0P-a 7- <br />CONTRA,C`T611i[ . `\ ADDRESS I <br />MP,Q-"�-\ Cp N�'2�i IZ...S., L'-['� (00g0 S ICI L{Til' VC�uT�ZIP CONTR. LICrE�fiY✓I.kt ClalOk <br />PHONE I A 9 %032 <br />(.1SN R'12- cl S <br />PROPOSED USE OF BUILDING <br />0"1cG <br />PERMIT <br />R Building f"1 Mechanical <br />Combination Plumbing <br />Addition <br />HEAT SOURCE <br />TYPE <br />IFL�l( <br />{IAL��(Jj( Demolition Sign <br />WORK <br />TYPE <br />Alteration <br />New <br />fi Electric <br />ILH-JS Gas <br />Sprinkler <br />Repah/Maint. <br />Other <br />CONTRACT PRICE OF WORK ZS Z <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />... - non ✓cM'10 Li7rQ K/ 07 G.lar>•..-�' a�!/•rOuWllCw/f / <br />Te►a ►lf\"'T kA-- ( 7:>AR1,1,,o.0 cA. a,A L S <br />pt./c` Aid �c.o o F oN� /?6s7-720Lj0j Au.4 BgMk-Rea," S/u� <br />NO. I TYPE OF FIXTURE OR ITEM <br />t WATER CLOSET <br />_ 6ATHTU_ <br />I LAVATORY (WASH BASIN) <br />_ SHOWER <br />KITCHEN SINK &-DISPOSAL <br />DISHWAS)-ER <br />LAUNDRY Y <br />_ CLOTHES WAS <br />_ URINAL <br />_ DRINKING FOUNTAIN <br />FLOOR DRAIN <br />_ BACKcLOW PREVENTER <br />I SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. ( TYPE OF FIXTURE OR ITEM <br />A/0 - AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RGE OD <br />WAT HEATER <br />METAL EPLACE/STOVI <br />GAS FIREP <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER jk.A �,e.a <br />F SSA S <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIOINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPL" WITH THE STATE <br />CONTRACTQRS LAW 18.27 RCW AND 296.200 WAC. <br />-OZ <br />U. <br />