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� r <br />\PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEFtViCES <br />3200 CEDAR STREET, EVERETi, WA 98:01 <br />425•257-8810 — FAX 425-257-8857 <br />3 —il <br />SRE AODRElS <br />� t�} L oC. u.S T <br />LE LOT NO. �LOCK <br />ue�t� ,u.:�o <br />TENANT NAME <br />PARCEL TAX I.D. i <br />�� ca- ol� <br />TRACT <br />AODR!&4 <br />3� �} C9 Ib� � <br />CONTACTNAME <br />i3 � l � I.-,a �1(�u.S <br />CtOII�RACT `, I1 ADORESS <br />L U{�" {lra�i�G ry�f'.'�( 3�J 9� �W Iby <br />VHONE �'Il'� � 3 t� i- 1 I� 1 Lnn '�rtT '� <br />PROPOSED USE OF BUILDING <br />s <br />CONTRACf PRICE OF WORK �].n � <br />iv <br />Pe�aurc <br />�3 - <br />�-3o3���a1 <br />PMONE <br />3a`tl <br />LP CONTN. UCENSE • <br />qg'�`�� qz3-3�y I <br />���; -�6,/ — �3. // <br />Buiiding hanicel Addition I1EASS0uRCE <br />PEHMR B Combmation Plumbing WORK tention El�chic <br />TYPE Dsmolitton �ign TYPB New ss <br />B SprinkNl (k of heads) RepaidM�int OtM+ <br />CRY OF EVE(iETT LOCAL SALES TAX CODE 19 �106 <br />WORK DESCRfP'TION <br />ReFn-`RI�Pic�e�o►�r' r,r,���� r�s��� <br />NO. I TttVE OF Fl%TURE ON fTEM <br />WATER CLOSET (7011ET) <br />� BATHTUB <br />LAVATORY (WASH BASIN) <br />_ SHOWER <br />KITCIieN SINK S DISPOSAL <br />� DISHWASHER <br />LAUNDRYTRAY <br />_ CLOTHES WASHER <br />URINAL <br />DRINKINO FOUNTAIN <br />FIOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVICFIBARIMOP/ETC.) <br />OTHEF <br />NO. <br />TYPE OP Fl%TURE OR REM <br />A/C — AMANDUNG UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />qANGE HOOO <br />WATER HEATER <br />METAL FIREPLACFJSTOVE <br />FIREPIACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER — <br />� I <br />1 HEREBY GERITIFY TIiAT 1 HAVE READ AND E%AM!NED T1iIS APPLICATION AND KNOVY TME SAME TO BE TRUE AND COFRECT. AL: <br />FHOVISIONS OF L4WS AND ORIDINACFS 60VERNItJG TNIS TYPE OF WORK WILL BE COMPLIED WITH WFIETHER SPECIFIED FIEREIN OR <br />N()T. THE GRAtV?ING OF A PERMIT DOES NOT PHESJME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PROYISION OP MIY OTFIER <br />STATE OR LOCAL LAW REGU:ATING COi:STRUCTIUN OR TME PERFUf±MANCE OF CONSTRUCTION. THAT I AM AU7HORIZED BV 7HE <br />OYlNER OF THIS PROPERTY TO PERFURM TME WORK FOH WHICH APPI.iCATiON IS MADE AND t COMPLV WITH THE STATE <br />CONTRAGTGHS L4W 18.27 RCbY ANU 290200 WAC. <br />/.�_ ._.,� �1��1a� <br />