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� <br />�� <br />P�r�MIT APPLICATI�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />�0700 i-Fnrrlea�n Rocxd <br />LEGA LOT NO. BLOCK <br />DESC. �. Q � , <br />OWNER <br />I nfi^acorp i2ca 1 Es�a�e <br />PARCEL TAX I.D. • <br />o22Qo4-4 - O�z - ooac� <br />TAACT . . <br />`1 17asc r� 0�'1 av� <br />PERMIt M <br />b a�R-o3 <br />•2"d'Ne s�c 3oa 9s�z1 2ab'7zg-qs <br />TENANTNAME CONTACTNAME � PHONE <br />�it,d�lma, lnc (�ickael Ainslc� �6L 7�o-?oot <br />CO ACTOR ADDRESS aP COHTR.LICENSEI <br />In e�er� R�a1 Cs-�ak 2s45-2M MQ S�e3ea 9P1�� <br />PHONE <br />�6 '72a-4-s�,n INT4.AR6 o33cn <br />PROPOSEO USE$1F sUILqNO Building Mechenical <br />TC'/fa�n� 1A+rf'O�VaC*�/►� pEHMR Combination RL..1 Plumbing <br />W� ti1 i n �x �J'�'1 r�, TYPE Demolilfon U Sign <br />610o Hard�san Sprinkler <br />CONTRACTPMCEOFWORK � IOG�,�� <br />WOHK DESCRIPTION <br />3t90 cf ef <br />e(' �ena.� } <br />�Additbn I HEAT SOURCE <br />Altentbn �El�ctric <br />New Oea <br />f;ep�ir/Meint. Oth�r <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />04'f�ca an en. �laer, 2'�'S'�a sF aF wa��{oavst <br />� r+ y�w��►,�n�' f�cr $eJ tlmc, 1ne . <br />NO. � TVPE OF FlXTURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 3 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CIQTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MpP/ETC.) <br />NO. � IYPE OF fl%TUR� OR ITEM <br />A/C —NHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATEpS <br />CLOTHES DRYEfl <br />RANGEHOOO <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPIACE INSERT <br />(iA5 FIREPLACE <br />GAS RANOE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIStONS OF LAWS AND OFIDINACES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH WHEfHER SPECIFIED MEREIN OR <br />NC�T. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR I.00AL LAW REGUUITING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BV THE <br />OWNER OF TIiIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />.--.-'. _._._..--��-�--'---.._... .----.�_... <br />yt,l��tia�l �►n ��—C�.�.�.} �,wl�y �-�,���--u�� <br />