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� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADORESS <br />�o7007 �eD�Sc�t� RD. <br />DESC. <br />TENANT NAME <br />i �w - wcHs we�s cc� <br />CONTRACTOR <br />'"`"r.►T Wl rc c,��AtiJ �c.� L <br />PHONE ,�2i - 4% b-y 3 Z7 <br />PROPOSED USE OF BUILDINO <br />PERMIT <br />TYPE <br />PARCEL TAX I.D. • <br />ADDRE33 <br />Z'''" 4!v � � �o <br />CONTACT NAIIAE <br />�'� W\L.So <br />ADDRESS <br />PERMIT N <br />Moi � <br />Zct.-9Z8'-b�s� <br />PHONE <br />�fla -'� •22'7u <br />CONTR. LICENSE A <br />?2S('3 3 C'�sc.�c 1 � {2�rt �'l`1 <br />�-t. l l�.i �Xl�z-t 7'`��''��tlIK'1 <br />Buildln� Mechanical AtldRion HEAT SOURCE <br />Combinatlon lumbing WORK Albretbn �a�roic <br />Demolitia� Sign TYPE �New 8 <br />Sprinkler RepUrMlelnt Other <br />CONTRACT PRICE OF WORK �' $� q eu b I C1TY OF EVERER LOCAL SALES TAX CODE IS 3106 <br />WORK DESCRIPTION <br />'��5?A\I o+�lE -i -rv� G hs ���� Pa�uc-�� u.., �T <br />�J�T�I C�x-T w,oC� � T�fi�'�►,�s-rAT <br />OI I IIWFIIN[3 ur�u w u�nu <br />NO. I TYFE OF Fl7fTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />_ LAVhTORY (WASH BASIN) <br />� SHOWER <br />KITCHEN SINK & DISPOSAL <br />_ DISHWASHER <br />LAUNDRY TRAY <br />_ CLOTHES WASHCR <br />_ URINAL <br />_ ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICElBARlMOP/ETC.) <br />OTHER <br />NO. � TYPE OF FlXTUqE OR ITEM <br />A/C -AlFiANDLINO UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I liAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PHOVISIONS OF LAWS AND ORIDINACES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED WIThi WHETMER SPECIFIED MEREIN OR <br />NOT. ThiE GRANTI OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRpVISION OF ANY OTHER <br />STATE OR LOCA EGUUITING CONSTRUCTION OR THE PERFOHMANCE OF CONSTRUCTON. THAT I AM AUTMORIZED BY THE <br />OWNER OF TNI ERTY TO PERFORM THE WORK FOR WHICli APPLICATION IS MADE ANU I COMPLY WITH THE STATE <br />CONTRACTO 827 RCW AND 296.200 WAC. <br />�I�O <br />