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SRE <br />PERMI� APPLICATIOh <br />CITY OF �VER�TT PERM17 SERViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />LOT N0. � BLOCK I TRACT <br />G U et�'1�' <br />TENANTNAME <br />S`im� <br />CONTFACT <br />� �� � <br />PHONE <br />PARCEL TAX I.D. N <br />,�� `UO I - <br />�uSll�(� fl•l-��ol�Ty 3�QTlJflI�� �,��� <br />ICONTACTNAME <br />ADDRESS <br />�oa�i,�GQ��,�Fy 3��4�iby ��5',��I <br />`��-) � ��)�' IIJ-� <br />PROPOSED USE OF BUILDING I <br />s��� <br />CONTRACT PRICE OF INQRK � Q <br />-oo <br />ZI P <br />��as -3�3���a1 <br />PHONE <br />CONTR. UCENSE M <br />Goi+ �c7" � �1.� S' �?� h� G[, �— I,�.+ i/� <br />Building echanic <br />aERhtiT � C�mbination Plumbing <br />TYPE Demoiition Sign <br />Sprinkler (a a( heeds) <br />WnORK DESCRIP%�TIO�N '` -I �/� ��� <br />Ki1"' �i�/r"t'�GfN/G�T1� �Xr�TII�� %'t.S1W�'iT-r-� <br />NO. I TYPE OF FIXTURE OR ffEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAV:.TGflY (WASH BASIN) <br />SHOWEF <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKItJG FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER_ <br />Addition <br />�eration <br />New <br />Repair/MainL <br />HEAT S/JURCE <br />Eleciric <br />as <br />Cher <br />CITY OF EVERETf WCAL SALES TPX CODE IS 3105 <br />NO. I TYPE OF FIXTURE OA REM <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />_[__ CLOTHES DRYER <br />�_ RANGE HOOD <br />� WATER HEATER <br />MEfAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />�/� GAS PIPING <br />.3 EXHAUSTFAN <br />OTHER <br />I HERcBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLI�ATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND ORI�INACES GOVERNING THIS NPE OF WORK WILL 8E COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERPAIT DOES NOT PRESUME TO GIVE AUTHOAITY TO VIOLATE OR CANCEI THE FROVISION 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 PERFORh1 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTFACTORS LAW 1827 RCW AND 296200 WAC. <br />�iL✓1 in �,t �., � i/�� � l � 1� a� <br />