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PEIMIT APPLICATIC-! <br />4A177- CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />-16 -oU <br />SITE ADDRESS <br />PARCEL TAX I.D. # PERMIT 0 of H0q i ��� <br />x� � <br />LEGA LOT NO. BLOCK TRACT <br />DESC. _ _....- <br />CVL=R <br />TENANT NAME <br />CONTRACTOR r <br />&A e Fz- IT <br />PHONE <br />GL_ 1 n1 LC- <br />L71r ,P2 VW_E <br />I 4/ GS — 7/gr2 > <br />PROPOSED USE OF BUILDING <br />i <br />- G zzq <br />I CONTACT NAME <br />PHONE <br />N\ALK IvLraq25-L(Lx.> <br />ADDRESS ZIP CONTR. LICENSE d <br />�(�3c� 153.^d1/�ciaTllley �c,cOr.r�C W✓i-R�SZ <br />Building LL N- eu bing <br />al <br />PERMIT Combination tD�,-PlUmbing <br />TYPE Demolition Sign <br />Spnnkler <br />HEAT SOURCE <br />WORKtation <br />R <br />TYPEew <br />PAded',tion <br />Gas <br />�..{ Gas <br />epair/Maint. <br />L`�Other <br />CONTRACT PRICE OF WORK !l C' .V f I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION Aq.� [� I �T—l�SSR-S IR&LCD <br />R I_cx �� ) - r✓n / Re:: <br />I - C0L)A-)7Vn-. S/,JIl* <br />PLUMBING <br />MECHANICAL <br />NO, I TYPE OF FIXTURE OR ITEM <br />TYPE OF FIXTURE OR ITEM <br />J— <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />r <br />A/C-A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />SHOWER <br />SINK & DISPOSAL <br />CLOTHES DRYER <br />KITCHEN <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />__ <br />__ <br />RANGE HOOD <br />WATER HEATER <br />FIREPMETALAC EINSERTSTOVE <br />I <br />_ <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />GAS <br />_ <br />DRAIN <br />GAS RANGE G/ <br />FLOOR <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />3 <br />GAS PIPING <br />EXHAUST FAN <br />OTHER DI F7 LntT1 S <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME ro He I Hue ANU wnnc�. <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 A 2 200 WAC. <br />/J t, L <br />■ <br />