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SITE ADDRESS <br />3 �5 E��-� <br />LEGAL LOT NO. <br />DESC. <br />�ERMIT APPLICAT��JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 �EDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />S .��c I <br />H—�8"7A <br />K TRACT <br />PARCEL TAX I.D. # <br />PERMIT N <br />Nz +C� Ccmm �"a{•c-,y �Lo�� E� n� ki llry �r 'LOlgl 763'`t�3`�"�00% <br />TENANTNAME CONTACTNAME PHONE <br />id�rf�l I �a.-; Lo..,���r �-iu3)Ks�-4oY3 <br />CONTRACTOR <br />Nr�.� ['onl�nc�:•�y <br />O <br />PHONE <br />�7�3-b4G- ;dna <br />PROPOSED USE OF BUILDING <br />izrl.��/ <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />_ j <br />/CqA.I <br />ADDRESS <br />y7v`/ ae�i %ivinclC <br />Bui�ding DMechanical <br />PERMI7 � Combination U Plumbing <br />7YPE Dem01iti0n U Sign <br />Sprinkler <br />�{ .5(„ODG.OG <br />1„�,�� � �„ �� f <br />PLUMBING <br />N0. I TYFE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVA70RY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />GLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MUP/ETC.) <br />OTHER <br />ZIP CONTR. LICENSE t <br />•L1`i� v�ac�.� iiooui �(i� <br />�Addition <br />Alteretion <br />Nev. <br />Repairrtdzint. <br />HEATSOURCE <br />D Eledric <br />C� Gas <br />U Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A!C — AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE IIJSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <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 ORIDINACES 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 VIOIATE 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 />O`NNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />`L <br />