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" PERMIT APPLICATION <br />GITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREI-f, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />(r�T��,�> � <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />(� ,i a � c= �. <br />TENANT NAME <br />CONTRACTOR A ctG �j_ l� �1:�L �Q15� <br />�.1,�. <br />PHONE <br />K�5 -7 �- I�i <br />PHOPOSED USE OF BUILDING <br />PERMIT <br />� <br />� � n��l�. -r ��. m� I.,� «-;� <br />CONTRACT PRICE OF WORK <br />PARCEL TAX I.D. M <br />�3i ��^oyo ia 000� <br />Sa - <br />-i' <br />�c-, � — ,. <br />CONTACTNAME <br />- �;�'�A a� S <br />gBuilding D Machenical <br />Combinati�n u Plumbing WORK <br />BDemolilion U Sign TYPE <br />Sprinkler <br />WORK DESCRIPTION / <br />iJii.�l � �Il� <br />I <br />NO. � TYPE OF FIXTUHE OR ITEM <br />J_ <br />� <br />WAT[R CLOSET <br />BATHTUB <br />L.�VATORY (W�SH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOS:�L <br />DISHWASI�ER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />UFiINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVIC[IBAR/MOP�ETC.) <br />OTFIER <br />� �% //%- �� 5 <br />PEFMIT a <br />c.o il �-oiC� <br />PHONE <br />-�43-1�iY <br />PHONE <br />I`1�A'a- 145-1 t�s <br />ICONTR. LICENSE N <br />A� i►:E <br />�Addilion HEAT SOURCE <br />Ilerelion �Eleclric <br />eW Gas <br />RepeidMaint I Other <br />CRY OF EVERETT LOCAL SALES TA% CODE IS 3705 <br />� <br />��- (� -�, — j <br />NO. I n'PE OF flXTURE OR ITEM <br />�� <br />A/C — A/HAND�ING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT 1 HAVE READ AND EXAMINED TIiIS APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L4WS AND ORIDINACES G'JVERNING THIS TYPE OF WORK WILL BE COMPLIED NiITH WHEfHER SPECIFIED MEREIN OR <br />NOT. THE GRANTING OF A PERAIIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TFiAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPI.Y WITH THE STATE <br />CONTRACTORS LAW 1627 RCW AND 296.200 WAC. <br />�� � ,�;.1.�_ i�, � il.� ''/z) <br />naWr olOwnedConUacl dAuthonzedAgent ate <br />