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F ;RMIT APPLICATI �N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />� O Lo C� <br />LEGA LOT NO. BLOCK <br />DESC. <br />OWNER <br />�� ��� � � <br />TENAN'NAME <br />CONTRACTOR <br />�C'^..:`��,,L�/C2 (32.._�• <br />PHONE <br />PROPOSE� USE OF BUILDING <br />CONTRACT PqICE OF WORK <br />WORK DESCRIPTION <br />N0. <br />1�[N, <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />°HOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOF DRAIN <br />BA.^,KFLOW PREVENTER <br />SINK (SEAVICE/BAR/MOP/ETC.) <br />OTHER <br />PARCEL TAX I.D. # <br />TRACT <br />� <br />ICONTACTNAME <br />ADDRESS <br />:� �F� � ��2d1-�� � <br />3io <br />Building Mechanical <br />PERMIT R Combina�ion � Plumbing <br />TYPE D Demolitian Sign <br />U Sprinkler <br />P MIT d <br />r C�2� C� -c� o <br />PHONE <br />303 � //� � <br />PHONE <br />LP CONTR. LICENSE N <br />5��zpl j�r7�E-S5P/CoS�JB <br />Addition <br />WORK Alteration <br />TYPE New <br />RepaidMaint. <br />HEATSOURCE <br />Electric <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />NO. I NPE OF FIXTURE OR ITE�1 <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />hEAT PUMP <br />UNIT HEATERS <br />CLOI'HES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOVJ'.'HE SAME 70 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA1N5 AND ORIDINACES GOVERNING THIS TYPE OF WORN WILL 8E COMP�IED WITH'uVHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br />STATc OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFQRI,IANCE OF CONSTRUCTIGN. THAT I AM11 AUTHORIZED BY THE <br />OWNER OF THIS PflOPER1V TO PFn� ;��i�; THE'NOFlK FOF WHICH APPLICATION IS 1.1AOE AND I COh1PLY WITH THE STATE <br />CnNTRAFTORS LAW tA27 RC:v AND 296 20L WAC. <br />'�`�.�r'-� <br />re <br />(o- ( 2 -� ��_ <br />