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SITE ADDRESS <br />36a5 <br />LEGA LOT NO. <br />DESC. 3 �' j�f �� <br />�2 0 GIE�I ,q <br />TENANTNAME <br />P�RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />,QJ�/CE'FE'< <br />tF�eT y� b <br />V'�v N G <br />PARCEL TAX I.D. # <br />tc a�Y�3S/-8�2 -a U <br />BLOCK TRACT <br />8 L P� q% OF 6UEatTT. <br />CONTRACTOR <br />n'IqL6 y Co�lsTuicT�a., <br />PHONE �6�' � S2 ' Sob d � <br />PROPOSED USE OF BUILDING <br />5, � � <br />CONTRACT PRICE OF WORK � <br />WORK DESCRIPTION TG <br />PERMIT <br />TYPE <br />W <br />PERMIT # <br />3 �oo C o30� <br />-3� G S �4 G�cC irR� <br />CONTACT FOR PERMIT <br />���KF M,y�a y <br />ADDRESS <br />/�}3-.�/ .1�b AdE.nl,u. <br />MA 2ys uiuE I�p . <br />�Building ���jjj Mechanical <br />Combinalion j� Plumbing <br />Demolition D Sign <br />Sprinkler <br />TYPE <br />S PG � <br />PHONE <br />�f1S-b'�a-/�y�6 <br />ZIP CONTR. LICENSE # <br />%�z �/ /hALeY�-6770A <br />Additlon <br />AlteraUon <br />New <br />Repafr/Maint. <br />HEATSOURCE <br />Electric <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />,�EPrv2 Pasi/PictiS /� c�2Au� A2�,n, T �PE'-�oeF �/aas� <br />To /� sr,a « NEW G N s F//1F P(�I CE" /�/PEb F2 d M � X/ST/i✓i <br />r,f�2 . <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASI�V) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETCJ <br />OTHER <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYER <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 I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVI310NS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 1:ITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES 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 8Y THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />'IL <br />