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P�RMlT APPLICATIOIV <br />CITY OF EVERETT PERMIT SERVICES <br />/ 3200 CEDAR STREET. EVERETT. WA 98201. 425-257-8810 <br />l <br />SITE ADDRESS <br />i�0o �ihROC'Y►.� R � • <br />DESC. I <br />OWNER a1 TRI�CORt <br />•� <br />TENANT NAME � (Zol.� µD�{1�'J� �.J <br />CONTRACTOR <br />Pi4'"CfuOT F�t- a'otlFzttoF>, IN <br />P(L53)K26 u't� �Due.t S Ld13� <br />PROPOSED USE OF BUILDINO <br />PERMIT <br />TYPE <br />�(t,�(�OVSr�, <br />PARCEI TAX I.D. • <br />o ueo4- 4- o t Z-000v <br />Z <br />ADDRESS <br />LS� ?tx�/��-�F� Su��'C 's'� <br />'S�E/�'CTI.F . (Y/� QE3 � Z� <br />CONTACT NAME (Rp� µpuVTN►� HT <br />��^{ C,CN7qZ <br />AODRESS <br />Z70? "io�^ /�t . � - <br />To�cv�-4t . WA �f8424 <br />jtERMIT R <br />Bolc9- <br />�)E62s —�2� <br />PHONE <br />CONTR. UCENBE • <br />PAT�IfPoqQ t,F <br />� Bpildlny � Mechanical I I� A�ion I H�SOURCE <br />Combination Plumbing WORK niteratbn Electric <br />Demolitfon Sign TYPE NrN 6es <br />S rinkler R INMeint Other <br />CONTRACT PRICE OF WORK c� �.. � -? p, q I CRY OF EVERE7T LOCAL SALEB TAX CODE If �106 <br />p.. .�. - <br />WORK DESCRIPTION <br />I,k,�•� F�c¢ �E��k. �tr s�s�z+� fbF Vf.w w/�eo►lo�s� <br />( <br />� D �-%ac�s <br />N0. I TYPE OF FlXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPUSAL <br />DISHWASHEP, <br />LAUNDRYTRAY <br />CIOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENT,ER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />N0. I TYPE OF FlXTURE OR ITEM <br />A/C - A/HANDIINCi UNITS <br />_ FORCED AIFi £YSTF,MS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />_ RANGEHOOD <br />WATER HEATER <br />UIETAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />_ GAS FIREPLACE <br />_ GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />� OTHER,��fZ[ �-IUK/.lk(L <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICAiION AND KNONi THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETMER SPECIFIED MEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOL4TE OR CANCEL TME PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE PERFORMANCE OF CONSTRUCTION. THAT i AM AUTMCRIZED BY THE <br />^'"iNER OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE � <br />� �TRACTORS LAW 1827 RCW AND 296.�00 WAC. /� <br />( — �'OZ <br />