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� <br />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 />3914, <br />OESC. <br />M� K► ne Srv�. �`fv► 3�'1 <br />TEN/WT NAME I <br />� � U►.v�l <br />CONTRIICTOR /,�n r�� <br />L�Jr.J �� <br />vHa+E �o �_ C/'�O <br />-1 <br />PROPOSED U8E OF BUILDIN6 <br />PERMIT <br />7YPE <br />CONTRACT PRICE OF WORK <br />PARCt: TAX I.O, i <br />TRACT <br />�� r+� r� c <br />NTACT FOR PEIGAIT <br />ADDRE33 <br />aer�ir R <br />�l SZo3 �S 35� <br />PNONE <br />`�-O�o 2�$Z�?O� <br />ziP coHrn. uc� r <br />`�$f`J� c�l�JF-tl�JQYaCC.J <br />�Buildinp � Mechanlcal I AddfUon I HEATSOURCE <br />Combineilon Plumbing WORK � niteradon ,Q Eiectrle <br />Demolit(on Sign 7YPE N�w $� Gae <br />Sptinkler RepairlMaint l] Otlror <br />CT' OF EVERETT LOCAL 3ALE5 TAX CODE IS 7105 <br />WORK DESCRIPiION <br />�Lv�S�I �►-n� <br />�anf 3 �2 nnA-l/ 3(o�U <br />N0. � 7YPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILE� <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />OISHWASHER <br />LAUNDRYTRAY <br />CLO?HES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPlETC.) <br />OTHFR <br />NO. I 7YPE OF FU(TURE OR ITEM <br />A/C — A/HANDLINO UNITS <br />FORCEO AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HFATER <br />META�fIREPLACFJSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I FiAVE READ AMD E%AMINED TMIS APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF l.4WS ANO ORIDINACES GOVERNING THIS TY7E Of WORK WILL BE COMPLIED WITH WHETIIER SPEC�FIED HEREIN OR <br />NOT, THE GRANTING Of A PERMIT DOES NOT+�RESUME TO GIVE AUTHORI7Y TO VIOUTE OR CANCEL TME PROVISION OF ANV OTFtER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AU7HOR12ED BY TME <br />OWNER OF THIS PftOFERTY TO PERfORM THE WORK FOR WHICH APPLICATION IS AMDE AND I COMPLY WITH THE STATE <br />CONT CTORS} (W 18,.27 RCW AND 296.200 WAC. <br />�� :1,�-Wi�nr,n e� � i��n c 0..� �l��a3 <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />2'd LSBBL52S2bi�01 �W��J £b�£2 £002-BT-9(1H <br />