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SITE ADDRESS <br />Q �-, o c <br />LEGAL LOT N0. <br />F�.�RMIT APPLICi4TIC N <br />CITY OF EVERETT PERMIT 'SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�� <br />BLOCK <br />PARCEL TAX I.D. # <br />45y�.-�� � �d c� -000 <br />TRACT <br />�0 —15 -d Z <br />PEFMIT k <br />�162f0- C� <br />��-�— If-ous�u� /�-ur�iou�iY 3io'� <016y 9��/ a� �-4zz L <br />TENANTNAME �� CONTACTNAME PHONE <br />� H� (� � 1( Lo..v� G�.�-S y� i- S o i-� � � 1 <br />CONTFACTOR L� �.n A�DRESS ZIP CONTR. LICENSE A <br />�T `T Sf � U / <br />PHONE � 1 l) ��J I 7 y <br />5o�-S�L l ' <br />PROPOSED USE OF BUIL�ING Building �Mechanical Addition HEAT SOURCE <br />PERMIT Combination ���lumbing WORK Alteretion Q Electric <br />,j � x TYPE Demolition U Sign TYPE New ��� �j Gas <br />'-'"�� Sprinkler Fepair/Maint. L� Other <br />CONTRACT PRICE OF WOR C Q � J U CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />iJ <br />WORK DESCR�PTION �% `����% <br />/'Q / 1 ""' �' /�(� r /' <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOScT <br />6ATHTUB <br />LAVATOR`! (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUMDRYTFAY <br />CLOTHES WASiiER <br />UFINAL <br />D�iINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />� <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/G -A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER Fnp�o�'e- <br />RANGE HOOD �4 � t <br />WATER HEATER G-�— <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN /JP w <br />OTHER <br />I HEFE9Y CEFITIFY TNAT I HAVE READ AN� EXAh71NED THIS AFP�ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L4WS AND ORIDINACES GOVERNING THIS TYPE OF WORN WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTIDlG OF A PERMIT DOES NOT PRESUA1E TO GIVE AUTHORITY TO VIOLITE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOC.�L LAW REGULATING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AM AU7HORIZED BY THE <br />OWNEF OF THIS PROPEFN TO PEPFORM THE WORN FOR VJHICH APPLICATION IS MADE AND I COMPIY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />0 <br />