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� <br />SITE ADDRESS <br />�v�e �U <br />DESC. <br />P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-9810 <br />�,AZOESe� (Lp <br />�tiT2�cvRP �Nc. <br />PARCEL TAX I.D, • <br />ADDRESS <br />ZSoS �,vU AvE S�cG �3av <br />�a,r� . wA- 4�3 c z � <br />TENANT NAME i CONTACT NAME <br />�R-d�-' i�v�TAt� I <br />CONTRACTOR <br />PA-c(tieT F�2G- FF�v��oV. <br />PHONE (�� 3i 9� "LL4D <br />PROPOSED USE OF BUILDINO <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF WORIC� f�; S Q <br />ADDRESS <br />2?07- ��� AvE € . <br />T�co�a F wA �84z.4 <br />�Building Mechanical <br />Combination B Plumbing WORK <br />Demolition � Sign TYPE <br />Sp�inkler <br />n�.�^v �—r.r� <br />PERMIT N <br />��� �=� <br />PHONE <br />�Z�� G�s -9z �� <br />PHONE <br />CONTR. LICENSE N <br />{'}�TR tFPo4acF <br />naan�.,,�� . :. ) <br />Alteretbr� <br />New <br />RepairlMe:nt. <br />HEAT SOUP.CE <br />Eleriric <br />Ges <br />OMer <br />CRY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WOHK DESCRIP'*ION <br />�y�9��iV.� .��F-�1=�E�'S �U <br />1 "r �- PG+(LTivV DF 1-��u� fS�D� . <br />PLUI1181Na <br />NO. I TfPE OF Fl7fTURE OA ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (VlASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DFiINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKF�OW PREVENTER <br />SINK (SERVICElBAR�MOP/ETC.) <br />OTHER <br />z�..rr whs kvzoi -c�o4- <br />NO. � 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 />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPINf3 <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND DCAMINED THIS APPLICATION AN� KNOW TNE SAME TO BE TRUE AN� CORRECT. AlL <br />PROVISIONS OF U1WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUITE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR IOCAL I.AW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />�NER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH APPL�CATION IS MADE AND I COMPLY WITH THE STATE <br />TRACTORS LA6V 18.27 RCW AND 296.200 WAC. <br />