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PL.�MIT APPLiCATICI. J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-5810 — FAX d�5-257-8857 <br />SITE ADDRESS <br />iD2 S,�, EYERET I�At-l.��t-i 28 <br />LEGA LOTNO. BLOCK TRACT <br />p^c.t.1Tfl CAPITfYL, LLC <br />PARCEL TAX I.D. q <br />32 NwY �`T, <br />U- <br />i� <br />x <br />07-� <br />TEV�RC�R�� LJ�'�l3TY #' CONTACTNAME PHONE <br />�oQRFQ r,,, ,:-�-�� I �o�vNEt.L 1�si�N /mEc, i'►'IAER-2 (425�67o-(�7Ro <br />CONTRACTOR <br />DAVIS cSCNU�I.LER� ING, <br />ADDRESS ZIP <br />Zi22- 1�� 5T ��W,#Zc� <br />L.vNNwa�, WA-, 98b37 <br />PROPOSED US[ OF BUILDING � Building <br />VOCATIot-►fYLTRRIIJINC� PERMIT Combinatlon <br />TYPE Demolilion <br />�� ����(� Sprinkler <br />CONTRACTPRICEOFWORK�/)25,�� Oa <br />L <br />WORKDESCRIPTION �EN�r �Mr%�OVGM�I'% <br />�ai g3�i' S.i-. <br />11JGC.uD/N(7 �« Exr��o� W�,�• <br />5i o�EFRoNT �NTR`1. <br />NO. I TYPE OF FIXTUFE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />:iHO W ER <br />I(ITCHEN SINK & DISPOSAL <br />� DISHWASHER <br />IAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />RMechanical <br />Plumbing <br />D Sign <br />CONTR. LICENSE q <br />DAV155�- jo5p�l <br />[� Addition HEAT SOURCE <br />WORK � Alteration � Electric <br />TYPE New Gas <br />RepaiqMaint. Other <br />CITY OF EVERET� LOCAL SALES TAX CODE IS 3105 <br />OF �X�STi�6 �TFI�II� k3�u.�17JL� <br />pPEn1I+J6S . � N� 1.���Do�$' ArJO <br />NO. I TYPE OF fIXTURE OR ITEM <br />A/C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYEF <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <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 ORI�INACES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW FEGULATING CONSTRUCTION UR THE PERFORMANCC OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />, OWNEF OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />i CONTRACTORS LAW 18.27 RCW AND 296•200 WAC. <br />��L <br />