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P�.RMIT APPLICATI(.�� <br />CITY OF Ei/ERETT PERMIT SERVIGES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS G� � I PARCEL TAX I.D. N I PE IT x�/ /D� <br />Jb6 Sz �v�,J.�- M4�1 c.��x 1 v <br />IEGA LOT NO. BLOCK TRACT <br />! c oll ��.s =af�rna������ (�! o�vtu,� s-I S�a-H�� Lv4 Sfr /o( <br />TENANT NAh1E CONTACT NAME PHONE <br />� �ryw�A� Gofl+c,� I S�f-c�c. (�Lo��l� �{zS'- 77L-i1�351 <br />� CONTRACTOR d A�DqESS LP CONTR.LICEWSEM <br />I Qcr'.y �V`°'.v �� /?o. /3.rc SL6� L <br />i PHONE �/n.niwo,.J d� rry.�� 0 77 c+�1 <br />�iz$- 776 - 8 S 3 s wA� S�o yi � <br />PROPOSED USE OF BUIL�ING <br />!_' O'' �-5 G- <br />n Building Mechanical <br />PERMIT I 1 Combination Plumbing <br />TYPE � � Demolition ign <br />D Sprinkler (a ot heads) <br />CONTRACT PRICE OF WORK $ y( C�� o 0 <br />� <br />Addition <br />C Al;eration <br />ew <br />Repair/Meint. <br />HEATSOURCE <br />�Eloclric <br />Gas <br />Other <br />CITV OF EVEREff LOCAL SALES TAX CODE IS 3705 <br />WOHKDESCRIPTION rtn�ova �Xi,$�i.v� C"�oti/`S SiS�vJ �.:�S�qGC N�v -�iJsN <br />i N0. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILE� <br />BA?HTUB <br />LAVATORY (WASH BASI�) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES VJASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BA W'MOP/ETC.) <br />OTHER <br />NO. � TYPE OF FIl(TURE OR REM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />_ CLOTHES DRYER <br />RANGE h�00D <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />_ GASRANGE <br />_ GAS PIPING <br />EXHAUST FAN <br />I HEREB'/ CERITIFY THAT I HAVE RFAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS �F LAWS AIJD ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />��OT. THE GRANTING OF P PEFtd1T OOES PlOT PRESUId'c 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 />OVINER OF THIS P.;OPERTY TO PERFr� TNE WOFK FOR WHICH APPLICATION IS MADE AND I COIdPLY WITIi THE STATE <br />CONTRAGTORS LAW 18.2Y�SCW AGP.'L�96''.LOB-VT7�7-� <br />`IL <br />