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SITE ADDRESS <br />LEGA LOT N0. <br />DEuC. <br />OWNER <br />ve�1i' <br />TENANTNAME <br />cAm�. <br />CONTRACT <br />� �� <br />PHONE <br />�I ]� S <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK <br />us t t� (o .�.'I-G� � �i�. <br />� <br />PARCEL T/U( I.D.11 <br />�-1,���-001-ooa <br />TRAC'T <br />ADDRESS <br />3�o�-CDIb � �sao <br />CONTACT NAME <br />ADDRESS <br />rlo��,�� A�F2��,� 3 �� �� �y <br />-� �,,� s -S� i-� � c, � <br />- 3v3- i <br />PROPOSEO USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />qs��� <br />PERMR M <br />v�t � � a� o� r, <br />���s -3��-��a� <br />PNONE <br />aP CONTR. 4CENSE ♦ <br />Buflding echanic <br />PERMIT Combination Plumbing <br />TYPE Demolition Sign <br />Sprinkler (x ot heads) <br />WORK DESCR PTION <br />Qef�-`2J�P���e/���r' rx,���y r�s��►.�,a¢.... <br />NO. I TYPE OF FlXTURE OR REM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />— i3: // <br />Additwn <br />eralion <br />New <br />RepeidMeint. <br />HEATSOURCE <br />�ecUic <br />s <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />N0. I TYPE OF FlXTURE OR REM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DR`!ER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIFY THAT I HAVE READ AND EJCAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITFf WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERh11T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOflS LAW 1827 FiCW AND 296200 WAC. <br />