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PERMIT APPLICATION <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 />xX Mon <br />LEGA LOT NO. <br />DESC. 'i '1 <br />SUST 12� �c <br />TENANT RAME <br />CONTRACTOR <br />PHONE SR�"'" e <br />� <br />�3 A bG u� <br />PROPOSED USE OF BUILD�NG <br />a����tx <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION TU <br />IPERMIT <br />TYPE <br />' ���U�OOU <br />PARCEL TAX I.D. �1 <br />TRACT P��eti�rsr <br />L� n e. 6�t u�u <br />� a. 3�,x �� <br />CONTACTNAME <br />ADDRE33 <br />MonroG c ncl <br />� v e.r�rr <br />�If%�� ' lJ D� <br />PE TM <br />%� M vu V Utc f <br />Alic�/ ,Sputf, T�erocr� <br />CIP PHONE <br />98203 Y25�3e�g-31�y <br />PHONE <br />yls�3a8-31�9 <br />ZIP <br />CONTR. UCENSE R <br />�"usr Rc� 07713 � <br />�Building Mechen(cal Addillon NEAT SOURCE <br />Combinalion B Plumbfng woRK � n�tera��on � e�ectr�c <br />Demolition D Sign 7vPe New aas <br />Sp�inkler Repair/Mainl. Other <br />� 9�Q� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />��„�rrucr c <br />NO. I TYPE OF FIXTURE OR REM <br />WATER CLOSET "`' ' <br />BATHTUB ���� <br />LAVATORY (WASH BASIN) /`i/ / <br />SHOWER <br />� KITCHEN SINK 8 DISPOSAL <br />.� DISHWASHER <br />LAUNDRYTRAY <br />� CLOTHES WASHER - <br />_ URINAL <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. � TYpE OF FlI(TURE OR ITEM <br />A/C - NFiANDLIN(3 UNITS <br />FORCED AIR SYSTEMS — <br />HEAT PUMP <br />UNIT HEATEFlS <br />CLOTHES ORYER - <br />RANGE HOOD <br />WATER HEATER � <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN ry�� /// <br />OTHER <br />� <br />I HERE6V CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. All <br />PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSiRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED B1' THE <br />OWNER OF TfiIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THF STATE <br />CONTRACTOjS�J 1827 R JD 296200 WAC. <br />`�w o�a� S �Iz <br />