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SITE ADDRESS <br />���� � <br />11�Y� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE�T, EVERETT, WA 98201, 425-257-8810 <br />(l�"u � I % �r'v �'� V Z' <br />TENANT NAME y� S l,�'Vy <br />r� <br />l��l CCa t��-- !'QiJ�— <br />CONTRACTOR <br />PHONE S� 1 � <br />7_�.%7��L•ti�R�i <br />ADDRESS /'" """J- "" <br />.5 / L��� �-� ��r-,�l ��� <br />CONTACTNAME <br />ADDRESS <br />p <br />PHONE <br />3Go- �s��- �� <br />�l:t•r.r� <br />CONTR. LICENSE A <br />PROPOSED USE OF BUILDIN� Building � Mechanical Addition HEAT SOURCE <br />� n, PERMIT � Combination Plumbing WORK B Alteration 1� Electnc <br />�� TYPE Demolitian Sign TYPE New �as <br />�-�v� -� Ga1 ( �p� a Sprinkler B Repair/Maint Other <br />CONTRACT PRICE OF WORK J� — CITY OF EVERETT LOCAL SALES TA% CODE IS 3705 <br />WORK DESCRIPTION ��� /� ,_��� // �,Gy�,�� <br />� �.�P � �L ',^,-�— <br />��VI GC� <br />NO. I TYPE OF FlXTURE OR ITEM <br />E <br />"�ATER CLOSET <br />6 `.THTUB <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 />FLOON DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/8AR/MOP/ETC.) <br />OTHEF <br />NO, � TYPE OF FlXTURE OR ITEM <br />A/C -A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <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 P�PING <br />EXHAUSTFAN <br />� HEREBY CERITIFY THAT I HAVE RF�1� AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PqOVISIONS OF LAWS AND OR�DINACES GOVERNING THIS 1YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Ofl <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUL4TING CONSTRUCTION OFi THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM1I THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRPCTORS LAW 1827 RCW AND 296200 WAC. <br />l � i-,. _ ,� /: -/�I �I��/��� <br />