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SITE �,DDRESS <br />6a7 6vEr�' Y►1nU. <br />LEGA LOT NO. <br />��RMIT APPLICe4TIl,N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br /># �3 <br />BLOCK <br />S� 18 <br />PARCEL TAX I.D. q <br />1$ Z Sb5-3—oY0— <br />TRACT <br />Z8n1—RSr <br />PERMIT 4 <br />� O�� 'C�3 <br />Ro6�n�5o�.( PRoPee..-�-�Ej sop sc tv��tzer �ya[� WA./ �A, a8208 �-I Z 5 353 617,3 <br />TENAN7NAME CONTACTNAME { <br />PHONE <br />STA�Z.BRIGHi Cc�eN��G Caw�� %1%;lLt %1%Rt�1V 36b. bSo. /!50 <br />CONTRACTOR ADORESS <br />C��� Dr$�GnI S�Ln/ AW/�l� vP CONTR.LICENSEB <br />� w(, �IZ3 Ko�rvckYST �u5ToD5c�yZ�� <br />PHONE <br />360. 650, i i So <br />PROPOSED USE OF BUILDING <br />C'� <br />CONTRACT PRICE OF WORK <br />�3Ec.�,.��N�� W,a <br />I PERMIT � <br />TYPE <br />3, 350, °O <br />WORK DESCRIPTION <br />!�1 F���sr.a c.� <br />NO. � TYPE OF FIXTURE OR REM <br />_ WATER CLOSET <br />_ BATHiUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK & DISPOSAL <br />_ DISHWASHER <br />_ LAUNDRY TRAY <br />_ CLOTHES WASI-IER <br />_ URINAI <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ S�NK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />Building Mechanical <br />Combination Plumbing <br />Deinolition Sfgn <br />Sprinkler <br />S/G,i(A (, t <br />q822S Cvsr-opSo66aR <br />)RK RAddition I HEATSOUflCE <br />Alteralion Eiectric <br />'PE �New Gas <br />RepaidMalnt. Olhar <br />CITY OF EVEREIT �OCAL SALES TAX CODE IS 3105 <br />NO. � TYpE OF FIXTURE OR ITEM <br />lvc; — n/tiANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER � <br />METAL FIREPLACE/ST51V'E ,q <br />FIREPLACE INSERT y <br />GAS FIREPLACE � /�" <br />GAS RANGE (F� <br />GAS PIPING <br />EXHAUST FAN <br />I HEREBY CER�TIFY 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 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 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />�- 6-3-�z <br />