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P�RM!T A►PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98'l01 <br />425-257-8810 — FAX 425-257-8857 <br />vr� `-�Q "�� O/! O 13 oC� -- <br />SITE ADDRESS PARCEL TAX I.D. k I PERMIT a <br />.� %/D ,�o�,�ir� �%sd'-O//-o/3- oo ( I C�,�oa �`f3 <br />LOT NO. BIOCK <br />/ 3 i/ <br />�fc � �d/a., <br />TENANTNAME <br />y�o .�o�r��-r,C �Ve� �,5� <br />ICONTACTNAME <br />o�u�, e / <br />CONTRACTOR ADDRESS Z�P <br />nvu�f.-yma� 7cS/l �o�7`rac:fdis ///l �adai �re <br />PHONE /' f /' ��Q�jO�y//S�. G(/� ��T%f.O <br />3/w n - �.�.J - % � � �� <br />PROPOSED USE OF BUILDING <br />�Q-Si C �T/Lt � <br />CONTRACT PRICE OF WORK��G <br />Building Mechanical <br />PEFMIT Combination � Plumbing <br />7vPE Demolition U Sign <br />Sprinkler <br />WORK�jDESCpIPTION <br />�d7��� �"L�Cii�Idi% <br />i�v��uoiN� 2 F.3�F��a�n 5 <br />NO, � TVPE OF FI%TURE OR REM <br />/ <br />bVATER CLOSET <br />BATHTUB <br />IAVATORY (WASH BASIN.) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />��, ..�I �S <br />PHONE <br />CONTR. LICENSE 8 <br />CvGc•✓Tu�o <br />�Addilion I HE T °� <br />Alleration <br />New Gas <br />Repair/MainL Olher <br />CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br />N0. I TYPE OF FI%TURE OR ITEM <br />A/C — A/HANCLING UNITS <br />FORCED AIFi SYSTEMS <br />HtAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />1 HEREBY CEi71TIFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT. ALL <br />PROVISIUNS OF L1WS AND ORIDINACES GOVERNING THIS TYPE OF WOFK WILL BE f;OMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GF±ANTIP:G OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CAtJCEL TFiE PROVISION OF ANY OTH[R <br />STATE OR LOCAL Ll�W REGULATING CONSTRUC fION OR THE PERFORMANCE OF CONSTRUCTION. ThIAT I AM AUTHOR2ED BY THE <br />OWNER OF THIS PROPERN TO PEFFOFM TFjE WORK FOF WHICH APPLICATION IS MADE AND I COMPL.Y WITH THE STATE <br />CONTRAGfOAS LAW ]�_.�%�1D 296.zpa wAc. <br />� �� �% <br />° 'la <br />