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� <br />`� <br />SITE ADDRESS <br />LOT <br />TENANTNAME <br />CONTRACTOR <br />R�i Flev� �ucr,S�Rvu£a <br />PHONr��cb�7a�-oRyb <br />PROPOSED USE OF BUILOING <br />CONTRACT PRICE OF <br />F�`:RMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVI�ES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425•257-8857 <br />BLOCK <br />PARCEL TAX I.D. # <br />CONTACTNAME <br />G2F� �„�„ � <br />AD�RESS <br />eioo r�n�A� 5, S�qi �cE� 1�1a, <br />Building Mechanical <br />PERMIT g Combination � Plumhing <br />TYPE D Demolitlon Sign <br />u Sprinkler <br />WORK DESCRIPTION ��j{j(L �(L 3Gb ��� Sy�KE55/c�,( � <br />NO. I TYFE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAF,'c.10P/ETC.) <br />PHONE <br />21P �� CONTR. LICENSE q <br />9S�b8 Rr►bcD�.`og8y� <br />�7j Addilion I HEAT5JURCE <br />j7 Alleration � Eiectric <br />BNew Gas <br />Repair/Maint. 011�er <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />N0. � TYPE OF FIXTURE OR ITEM <br />A/(.: - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />C�OTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIAEPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER �IP.�S�ipP,tE5516q� <br />�/5 �' �aR K 12 NFr/ <br />l�tdD <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TflUE AND CORRECT. ALL � <br />PROVIS�ONS OF LnWS nfJD ORIDINAr,ES GOVEPNING 7HIS 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 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 i�AADE AND I COMPLY WITH THE STATE <br />CONTRACTOFS LAW 18,27 RCW AND 296.200 WAC. <br />