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MIT APPLICATI�iN <br />CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVEI�ETT, WA A8201 <br />425-257-8810 - FAX 425-257-8857 <br />.✓• <br />81TE ADDRESS <br />DESC. <br />�J Mv �t-w-. � <br />TENANT NAME <br />5/�M4. <br />CONTRACTOR ��(��� ��' <br />PHONE <br />Z�1fl Co�z-� � 3C� <br />PROPOSED USE OF BUILDIN4 <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />PARCEL TAX I.D.1 <br />CONTACT NAME <br />ADDRESS �j � o C< !q� (�0.tiC�Tw� S <br />� <br />5 �,,�—r�� �.�a �c.� t 34 <br />PERMIT N <br />FHONE <br />CONTR. LICENSE • <br />RF�--rw ���u2 <br />Bullding DMechenbal Additbn <br />Combinetbn [] Plumbfng WORK � An�ntbn <br />Demolitlon U Sipn TYPE New <br />SoMnkler RepehMlsint. <br />HEAT 80URCE <br />Electric <br />Ost <br />otl�r <br />GTY OF EVERETT LOCAL BALEf TAX CODE IS 7106 <br />.�s-c-1��� -r,�- sP2�,.tie.�c,es (N �('�c.�s ���% �a�c'� <br />N0. I TYPF OF Fll(T'URE OR ITEM <br />WATER CLOSET <br />_, BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK 8 DISPOSAL <br />_ DISHWASHER <br />_ LAVNDRYTRAY <br />_ CLOTHES WASHER <br />_ URINAL <br />DRINKINO FOUNTAIN <br />_ F�OOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVICElBAR/MOP/ETC.) <br />_ OTHER <br />NO. � 1YPE OF RXTUR6 OR ITEM <br />_ A/C — A/HANDLINO UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />_ RANOE HOOD <br />WATER HEATER <br />METAL FIREPIACE/STOVE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />�A� RANOE <br />! GAS PIPINQ <br />_ EXHAUSTFAN <br />I HER[BY CERITIFY THAT I HAVE HEAU AND EXAMINED TNIS APPLICAT,ON AND KNOW THE SAME TO BE TRUE D CORPECT. ql�/ <br />PROVISIONS OF LAWS AND OFIDINAC�S �30VEHNINO THIS TYPE OF WORK WILL BE COMPUED WITH WMETHER S 1�EREIN OR <br />NOT. THE GRANTIN(3 OF A PERMIT DOES NOT PRFSUME TO QIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVIS!ON OF NY OTi1EFl <br />STATE OR LOCAL LAW REGU�TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUii!ORIZE� BY TME <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICr1 APPLICATION IS MADE AND I CGtr7PLV WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />. � —����— <br />Signalure o ner/Contraclorl uthorized Agent at�e <br />