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6c�oo►-c <br />SITE ADDRESS <br />/� r <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />l�a <br />�i /1„� <br />TENANTNAME <br />PE�MIT APPLICATIO <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />CONTRACTOR 5+��� <br />I•T.[�IT� <br />PROPOSED USE OF BUILDING <br />PARCEL TAX I.D. k <br />ADDRESS <br />«•l;�r_«i;r_i; r� <br />ADDRESS <br />Building <br />PERMIT B Combination <br />TYPE D Demolition <br />u Sprinkler <br />CONTRACT PRICE OF WORK %`� y,�� � <br />PERMIT # <br />no�c�9-oo� <br />PHONE !'Z S•- <br />� � PHONE <br />CONTR. LICENSE N <br />Mechanical Addition <br />Plumbing WORK BAlteration <br />Sign TYPE B New <br />RepaiqMaint. <br />HEATSOURCE <br />D Electric <br />B Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION ��ST.9�� C�' Af ��P�/'���— <br />NO. I TYPE OF FlXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVEN'CER <br />SINK (S[RVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. � TYPE OF Fl%TURE OR I7'EM <br />A/C — AlHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <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 PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT 1 HAVE READ AND D(AMINED 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 WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLITE OR CANCEL THE PROVISION OP ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEP.FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TNE <br />OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW iB27 RCW AND 296200 WAC. <br />J <br />