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I P_.RMIT APPLICATII.N <br />� CITY OF EVERETT PERMIT SERVICES <br />� 3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257•8810 - FAX 425-257-8857 <br />i / O -IS-02._ <br />i <br />SITE ADORESS PARCEL TAX I.D. # PERMiT u <br />��a ��N de�, `I SFa -nci-000-o�o`-! ,-1�9/J�.,� � ;�,�� <br />LEGA LOTNO. BLOCK � TRACT <br />�v�°��tf� liaus�.�,c, ,Awr�rvFir�/ 3�o'��olbY <br />TENANT NA�dE , CONTACT NAME <br />��-{ f�l' �'�j 1 L L i.,. � l� � l� J <br />CONTRACTOR /L' N � ADORESS <br />PHJNE <br />S C' �� j L i, � <br />PROPOSED USE OF BUILDING <br />�apl�X I <br />CONTRACT PRICE OF WOPK / O C <br />!3 <br />a ,$1- � z. �- L_ <br />i8ao � :�- <br />PHONE <br />y�5 -S�i-5Cot�l <br />ZIP CONTR. IICENSE k <br />'� IU'i- eo`"��� � �'i-U I <br />Building Mechanical <br />PERMIT � Combination Plumhing <br />TYPE Demolition Sign <br />Sprinkler <br />O U <br />WORK DESCRIPTIO:J /)� �y, , � /�� � <br />R <br />PLUMBING <br />NO. I TYPE OF FIXTURE UR ITEM <br />WAT[R CLOSET <br />BATHTUB <br />_ LAVATOFY (WASI-I BASIN) <br />SHOWEH <br />KITCHEN SINK 8 DISPOSAL <br />_ DISHWASHER <br />_ LAUNDRY 1�RAY <br />CLOTHESlNASHER <br />URINAL <br />DRINhING FOUNTAIN <br />FLOOR DFAIN <br />_ BACKFLOW PREVENTER <br />_ SINI<(SERVICEi6AR/MOP/ETC.) <br />Atltlilion <br />WORK Alteration <br />TYPE New <br />Repair/I.laint. <br />HEATSOURCE <br />�Eleciric <br />Ga^, <br />Other <br />CITY OF EVERE77 LOCAL SA'_ES TAX CODE IS 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLIN , UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS 1P f� <br />CIOTfiES DHYER Q°-P <br />RANGE HOpD •� �P `'e-- <br />WATER HEATER ^"f �O `'� <br />PdETAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FA�! �P w <br />OTHER <br />I HEREB'f CERITIFY THAT I HAVE FEAD AND E:<ALIINED THIS APPLICA':ION AND KNOIV THE SAhiE TO 9E TRUE AND CORRECT. ALL I <br />PROVISIONS OF IAWS AND ORIDINACES GUVERNING THIS TYPE OF WOHK WILL BE COMPLIED `NITH WH�HEF SPECIPIED HEflEIN OR �� <br />NOT, THE GRANTING OF A PEFMIT DOES NOT PRESU6IE TO GIVE AUiHORITY TO b'ICL,=,TE OR CANCEL THE PROVISION OF ANY OTHER �� <br />STATE OR LOCAL lAW REGULATWG CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUGTION. THAT I AM AUTHORIZED BY THE � <br />O`+VNEP CF THIS PROPERTY TO PERFORM i HE `NORK FOR WHICH APPLICATION IS tAADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.2C0 VJAC. I <br />