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a.:RMIT APPLICAT��N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />a�SITE ADDRESS <br />��� _ <br />� LEGA LOT �0. q BLOCK <br />DESC. �� lfdYf�- ��� / <br />OWNER —' <br />` � o�tJA� D � �A��.� -'.i` <br />TENANT NA�dE <br />�CONTRACTOR <br />PFiONE – jy� <br />PROPOSED USE OF BUILDING <br />SF� <br />CONTRACT PRICE OF WORK <br />�f PARCEL TAX I.U. N <br />�"� �/' ov/Lt�9dZ_ <br />TRACT. <br />�,lE JCr,2F5 <br />ADDRESS <br />y�5'2 �'c��.f,d ,quF ld. <br />ICONTACTNAME <br />ADORESS <br />Building Mechanical <br />PERMIT Combination Plumbing <br />TYPE Demolition Sign <br />Sprinkler <br />WORK DESCRIPTION <br />�.�,��\; ��, <br />NO. I TYPE OF FI%TURE OR REM <br />I — <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />OISHWASHER <br />LAUNDRY TRAY <br />C�OTHES N�ASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />TYPE <br />�°��"i /� v �. <br />PHONE <br />3 —yzs - 3si8'- Syi� <br />PHONE <br />LP CONTR. LICENSE M <br />�Addilion MEA7SOURCE <br />Alteration (� Electric <br />New Ges <br />Repair/Maint. Other <br />ICITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />Y� O J S e- 0.�Q qar�e+,e./W oY� {�o !� <br />� O � <br />NO. � TYpE OF fl7CTURE OR ITEM <br />_ rvV –AlHAN�LING UNITS <br />_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />_ CIOTHES DRYER <br />_ RANGE HOOD <br />� WATER HEATER <br />METAL FIREPL,4CE/STOVE <br />_ FIREPLACE INSERT <br />_ GAS FIREPLACE <br />_ GAS RANGE <br />_ GAS PIPING <br />_ EXHAUST FAN <br />_ OTHER <br />I HEPEBY CEFITIFY THAT I HAVE FEAD AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS PND ORICINACES GO'/ERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LCCAL LAW REGULATING f,pNSTRUCTION OR THE PERFORMANCC OF CONSTRUCTION. THA? I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOPK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTF�RS LAW 1827 RCN' AND 2g6.200 WAC. <br />