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T <br />SITE ADDRESS �� �,� <br />� �.�_1 �7�J <br />1— <br />LEGALI LOT NO. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />a25-257-8810 — FAX a25-257-8857 <br />I•74IN:1 <br />TRACT <br />PARCEL TAX I.D. # <br />a ,(I-r�2 <br />PERMIT q <br />�nnl -. <br />���!,e�i' H'o',�Si..�t> i`ILL1H021 �i 310"� �oc lU`� �'ue��eTfi `��-J-S��—SI�C, 1 <br />TENANT NAhiE I CONTACT NAME PHONE <br />CONTflACTOR ADORESS <br />���-rt t+��s,N� qut,�oa„y <br />PHONE <br />`115 -» 1- Slo � I <br />PROPOSED USE OF BUILDING <br />SF�L <br />Uullding �Mechanical <br />PERMIT R Combinalion Plumhing <br />TYPE F_� Domolition Sign <br />� Sprinkler <br />ZIP CONTR. LICENSE A <br />Atltlilion HEAT SOURCE <br />WORK Atleration �j Electric <br />TYPE New � Gas <br />Fi e p a i r/ td a i n I. O t h e r <br />CONTRACT PRICE OF WORK CITY OF EVEflETT LOCAL SALES TAX CrJDE IS J705 <br />WORKDESCRIPTION � 1 n ���QLLS1�4 4 Ue `�. <br />e mo �s�� � � <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES'NASHER <br />URINAL <br />DFINKING FUUNTAIN <br />FLOOR DRAIN <br />6ACKFLOW PFEVENTER <br />SINK (SERVICE-BAR/b10P/ETC.) <br />iu <br />NO. I TYPE OF FIXTURE OR ITEM <br />_L <br />/ <br />Y <br />� <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT 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 />I HEREBV CERITIFY'HAT I HAVE READ AND EXAPdINED THIS APPLICATION AND KNOW 7HE SAA1E TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF La6V5 API� OfiIDINACES GOVEPNING 7HIS TYPE OF WORK WILL BE C061PUED WITH'NHEi HER SPECIFIED HEREIN OF± <br />NOT. TNE GFANTING OF A PERh11T �OES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />SiATE OR LOCAL LA4V REGULATWG CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 6Y THE <br />OWNER GF THIS PRCPERTY TO PERFORM1I THE WORK FOR WHICH APPLICATION IS P.fAOE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 FC'N AND ?96200 W4C. <br />a/�i/oa <br />