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R�=RMiTi APPLICATI;�� N <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 />3 c�•Y �?Oc <br />LEGA LOT NO. <br />TENANTNAME <br />CONTRACTOR C��.��ss� 5 <br />5 h e.-}' rn. �t I <br />PHONE <br />'f�:� - �s �- 3 yse <br />PROPOSED USE OF BUILDING <br />/J PARCEL TAX I.D. M <br />/ f U -E. <br />BLOCK TRACT <br />ADDRESS <br />33GY �c/%��j�^ <br />ICONTACTNAME <br />�"'f" ADORESS <br />l G//.c f�a..•ii (/N.: <br />�� <br />Buildinc� III��� Mechanical <br />PERMIT � Combination �Piumbing <br />TYPE Demolpion d Sign <br />Sprinkier <br />CONTRqCT PRICE OF WORK // � � <br />PERMIT N <br />rnoz��-oa� <br />PHONE <br />Qfrao� yas-as�- 3i�s� <br />PHONE <br />LP CONTR. UCENSE N <br />°�a�t EUErG sso�� <br />C RAddition I HEAT SOURCE <br />Alterallon D Eiectric <br />BNew D Gas <br />RepaidMaint. D omer <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />WUHK OESGFiIPT10N � � - <br />li�kv7.e`�L� �tn- HoJ`w��,.- 7�..2. �.,c,� �P.�saa..�. Z`o.�G. fc,n.a_ ..�-,..fl <br />,�reaa�.,� o� .�.,r :.+, 64.0 ..1�,,,_o, <br />NO. � TYPE OF FIXTURE OR REM <br />WATER CLOSET <br />_ BATHTUB <br />_ �AVATORY (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK & DISPOSAL <br />_ DISHWASHER <br />_ LAUNDRY TRAY <br />_ CLOTNES WASHER <br />_ URINAL <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />NO. � TVpE OF FIXTURE OR ITEM <br />rv� — A/MAN�LING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEAT[R <br />METAL FIREPLACE/S iOVE <br />FIREPIACE iNSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I NEREBY CERITIFY THAT 1 HAVE FEAD AND EXAMINE� THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT. AlL <br />PFOVISIONS OF lAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMF'LY WITH THE STATE <br />CON7RACTOi;S LAW 18.P7 RCW AND 296.200 WAC. <br />