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P�RMIT APPLICATiI V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-SB57 <br />SITE ADDRESS <br />� 1 � G/�� o�. <br />LEGA LOT NO. BLOCK <br />DESC. 2• <br />OWNER <br />��Iu�Fh �A� LGC <br />TENANTNAME <br />�ONTRACTOR /'��_ <br />ts%�(7�( (�/7% <br />PROPOSED USE OF BUILD�NG <br />CONTRACT PRICE OF WORK <br />PARCEL TAX I.D. � <br />�2 -oo�- o2s-- 006' <br />1I�I�V 1 <br />3�v �ln(� i�i l/� � v, <br />�yL9g qvE /� �w+3 .Sd 7 <br />�. <br />���. ADDRESS <br />/�f4-9 AvN o. PMQ- .s'o7 <br />s�/c.�l-f�n�,sF! - 9'g� <br />I Building Mechanical <br />PERMIT �Combinalion R Plumbing W� <br />7YPE Demolilion � Sign TY <br />Sprinkler <br />WORK DESCRIPTION ^�r—�� <br />/J <br />L'�.�R�l � d� 5�1��a's <br />��� <br />G <br />21P <br />PERMR M <br />Dc�u�s <br />u <br />I� <br />S <br />PHONE <br />'o% 2S�'--25�'$(d <br />cor�rn. uceNse � <br />G��s%sc� t�y�A <br />Addition HEATSOURCE <br />Alterallon Electric <br />New Oes <br />RepaiqMeint. OMer <br />CITY OF EVEREIT IOCAL SALES TA% COOE IS �106 <br />L`XISi/<i�, %�OVS�� V� reJt/�.isi'/.7�r <br />NO. I TYPE OF flXTUHE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAI <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/8AR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF FlXTURE OR ITEM <br />A/C — A/HANDLING 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 />OAS FIREPLACE <br />QAS RANOE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />1 HEREBY CEFITIFY THAT I HAVE READ AND EXAMINED THIS APPLI�ATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE CF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br />' NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE .4UTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL U1W REGULATIN6 CON3TqUCTION OR THE PER=ORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNE T+HS P,ROPER PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />RACT061S�CAW 1 W AND 298200 WAC. � <br />