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�� <br />SITE ADDRESS <br />LEG � LOT NO. <br />DESC. (-1— Q <br />PEx�MIT A�PLICATIO"�; <br />CITY OF EVERETT PERMIT' SERVICES <br />3200 CED/1R STREET, EVERETT, WA 98201 <br />' ., 425-257-8810 - FAX 425-257-8857 <br />2 .S;l�i�i> �,�' i.r) <br />PARCEL TAX I.D. # <br />v 6L_u� Ev. oosy9 yUo 30 <br />BLOCK TRACT <br />.3 QUC-EN ;�NNE <br />� <br />r� �I�ITI�tI <br />OeNN1S I I`�I�INIPy ao10 Ct�mP�E(.� m�a5) o2�0�Ioa2, <br />TENANT NAh1E I CONTACT NAME PHONE <br />CONTRACTOR <br />rr�c �� � n� �c_ y <br />� <br />ADDRESS <br />(� �UC-LOP n1 �� <br />sy6'� rn�t�1�TE� <br />PROPOSED USE OF BU�LDING <br />si-vGL� FnM. R�s <br />CONTRACT PR�CE OF WORK <br />WORK DESCRIPTION <br />Con,s� r�UC� /vE� <br />NO. <br />TYPE OF FIJ(TURE OR ITEM <br />WATER CLOSET /" " <br />BATHTUB �'� <br />LAVATORY (WASH BASIN) .•N/ � <br />SHOWER �/' <br />KITCHEN SINK 3 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/ti10P/ETC.) <br />[� Building <br />PERMIT j—} Combinalion <br />TYPE � Demolilion <br />Sprinkler <br />���,y�� <br />l-tOMe <br />ZIP CONTR. LICENSE M <br />��a��s mc<<iN.��.iYa <br />RMechanical <br />Plumbing <br />D Sign <br />� <br />� <br />., <br />� <br />Addition <br />Alleralion <br />New <br />Repaidhtaint. <br />FiEAT SOUHCE <br />Electric <br />Gas <br />Other <br />— I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. � TYPE OF FIXTURE OR ITEM <br />A!C —A/HANDLING UNITS <br />FORCED AIR SYSTEb1S <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RAMGEHOOD <br />WATER HEATER <br />METAL FIREPLACE�STOVE <br />FIREPLACE INSERT <br />GAS PIREPLACE <br />GAS RANGE <br />GAS PIPING � <br />EXHAUSTFAN <br />OTHER <br />I HEFEBY CERITIFY'HAT I HAVE FEAD AND EXAGIINED THIS APPLI(.ATICN AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AN� ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COAIPLIED WITN WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERh11T DOES NOT PRESUM1fE TO GIVE AUTHORITY TO VIOLiTE OR CANCEL THE PROVISION OF ANY OTHER <br />S7ATE OR LOCAI LAW fiEGULATING CONSTRUCTION OR THE PERFORAtANCE OF CONSTR�CTION. THAT I AA7 AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORh1 THE WGRK POR WHICH APFLICATION IS h1A0E AND I COh1PLY WITH THE STATE <br />CONTRACTORS LAW 1327 RCW AND 296.200 WAC. <br />� ,. _ _ . \ n <br />— J L � <br />...-;f _ =��� �9 4 '1� <br />