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SITE ADDRESS <br />607 ,Sc E' <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />�./I31YlSOh �� <br />TENANTNAME <br />�S� � <br />CONTRACTOR <br />PHONE <br />�tRMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 -- FAX 425-257-8857 <br />src A � <br />�w c�a.� <br />� BLOCK �� TRACT <br />PROPOSED USE OF BUILDING <br />S � �� ���s 7�ha-J <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />Cdns7��T' � <br />� <br />> o�lnvh� <br />��Q i i <br />PERMIT <br />TYPE <br />PARCEL TAX I.D. # <br />EL�". �*-e 4vac8 <br />sao .SC. <br />CONTACT FOR PE IT ` <br />`�L{.(J,� I�{D.S„ts�, <br />nor��,�,��n ��as�� <br />ADDRESS <br />�Building <br />Combination <br />Demolition <br />Sprinkler <br />DMecl�anical <br />BPlumting <br />Sign <br />ZIP <br />X �T� �°-� <br />0 ' � <br />PHONE <br />,3s-3 -- gYaa <br />=r a�s �' <br />PHOf <br />S�3 ��� <br />CONTR. LICENSE # <br />Addition <br />AlleraUon <br />New <br />RepaidMaint. <br />HEATSOURCE <br />Eleclric <br />Gas <br />Other <br />CITI' OF 6VERETT LOCAL SALES TAX CODE IS 3105 <br />T�,�12Y To,u�-r .� c,r� nard �i�ow� awn�n.� <br />o I _ . ..� I i � . e a hl. Y/n � �'IA.AI `�YI.�L.J �.C'(A�S � 1 ��T- `-^ " <br />NO. � TYPE OF FIXTURE OR ITEM <br />! WATER CLOSET (TOILET) <br />BATHTUB <br />T LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <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 INSERT <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 IAWS 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 `JIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOR�ZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE FtND I COMPLY WITH THE STA7E <br />CONTRACTORS LAW iB27 RCW AND 296200 WAC. <br />Signature of OwnedConhscrodAuthonzed Agent Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�L <br />