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F'@C.�MIT APPLICATICi_� / q_��� <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 />UF-�� " 3�vc� . bC <br />LEGA LOT NO. BLOCK TRACT <br />oEs�. �.—r (N.< <1 —� Eo <br />PARCEL TA:' I.D. M <br />�33�-OOo-o� <br />�R�c.i,c..�qud l vus-4� t�' O � <br />TENANT NAME <br />N oNe, <br />CONTACTNAME � <br />2.�c�c. E''��J <br />, <br />Ev� , q��zo� <br />� <br />PERMIT M <br />-3(.?t <br />CONTRACTOR 1 �1 ADDRESS ZIP CONTR. LICENSE • <br />C.,ONSTr�1G��O�i l��N�.2.��5 ��$��'W�MtiN- CJO^1�i'G'� �O(�� <br />PHONE p�7 .�:., w _ '�j2� ��7 L� �V G S�� SMO biOw,�ts�.tilb q <br />4?.5 '� L `'� fOT <br />PROPOSED USE OF BUILDING <br />�El'ut.0 <br />CONTRACT PRICE OF WORK <br />8uilding <br />PERMIT COmbineliDn <br />TYPE Demolition <br />prinkier <br />Mechanical <br />Plumbing WORK � <br />Sign 7YPE <br />MEATSOURCE <br />Electric <br />Ges <br />Other <br />CfTY OF EVERETT LDCAL CALES TAX CODE IS 31G5 <br />WORK DESCRIPTION <br />[��to /4r�U �e�u��f� j�we.l,li►,� <br />NO. � TYPE OF FIXTURE OR ITEM <br />_ WATER CLOSET <br />` BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK 8 DISPOSAL <br />_ DISHWASHER <br />_ LAUNDRYTRAY <br />_ CLOTHES WASHER <br />_ URINAL <br />_ DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKF�OW PREVENTER <br />_ SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />NO• � TYPE OF Fll(TURE OR ITEM <br />ac -,4/HANDLING UNITS <br />FORCED AIR SYSTEhIS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE�STOVE <br />FIREPLACE INSERT <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY'HAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF WWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOh OF ANY OTHER <br />STATE OR LOCAL LAW FEGULATING CONSTRUCTIUN OR THE PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BV THE <br />OW�IF,�H�F T`HIS PROPERN�O PERFOi�AYTfiE1`JORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />� <br />