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SITE ADDRESS <br />( C>7 SC <br />LEGA LOT N <br />DESC. y <br />OWNER <br />�0�1�-15� <br />TENANTNAME <br />�ERMIT APPLICAT�iJN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, W,4 98201 <br />425-257-8810 — FAX 425-257-5857 <br />�vF2E.rr MnLLIn <br />�. IBLOCK <br />scc IS <br />�vEQE7j' 15EAU <br />CONTRACTOR <br />CVSTOw� j%�t(,�/ <br />-650-1i <br />��cAD�1y <br />PP.RCEL TAX I.D. # <br />�6 I 8 �805-3-o'�O -OOq <br />TRACT <br />�8N— IZSE <br />ADORESS <br />Sao scEvice�rr ma�� wa.i�A7 <br />ICOP!TACT NAME <br />m�k� mo2tAu <br />ADDRESS <br />s,v� tAw�.,�b yza ��-u,-v�kysr- <br />PROPOSED USE OF BUILDING <br />� ' � <br />C O �u wt Ea.�� a, L <br />BELL �.0 G u n,,.. <br />Building Mechanical <br />PERMIT B Comhination � Pl�mbing <br />TYPE D Demolition Sign <br />u Sprinkler <br />CCNTRACT PRICE OF WORK�� 3' Ci OD� 00 <br />PERMIT q <br />PHONE <br />� �5�'1150 <br />21P CONTR. LICENSE # <br />Cvs� op soyzc.6 <br />CusTo p Sabb 6 e <br />Addilion <br />WORK Alteratian <br />TYPE New <br />RepafdMaint. <br />HEATSOURCE <br />Eleclric <br />Ges <br />Olher <br />CITY OF EVEREST LOCAL SALES TAX CODE IS 3105 <br />WOi�K OESCiiIpTION <br />/111-6�I�15iA�L NEW ��.ECTR�CAL $I G�I <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLO5ET <br />BATHTUB <br />_ LAVATORY (WASH BASIN) <br />SHOWEFI_ <br />KITCHEN SINK.& DISPOSAL <br />DISHNiASHER <br />LAUNDRY TRAY <br />C�OTHES WASHER <br />_ URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/9AR/MOP/ETC.) <br />N0. I: YPE OF FIXTURE OR ITEM <br />A/C—AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATER& <br />CLOTIiES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIRcPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIrY THAT i HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO Bc TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIE� WITH WHETHER SPECIFIED HERE�N OR <br />NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I APA AUTHORIZED BY THE <br />OWNER OF THiS PROPERTY TO PERFORM TIiE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTCP.S LAW 1827 RCW AND 296.200 WAC. <br />- u i .- <br />