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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />— � Or% f ('O�� <br />SI7E ADDRESS <br />_� /'� <br />LFGAL LOTN <br />DESC. �f <br />O�YNER + <br />�11� <br />TENANTNAME <br />1-7UZtl3 <br />CONTRACTOR Y� <br />Ll��l;m�teo� � �I��a�ica�,.LnC. <br />PHONE <br />-��3�� ��5�-�I �� <br />PROPOSED USE OF 8 ILDING I <br />�I/, PERMIT <br />1��C•�/1�I�l.l TYPE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSIIL <br />DISHWASHER <br />LAUNDRY � ftAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />_L BACKFLOW PREVENTc'R <br />SINK (SERVICE/BAR/MOP;FTC.) <br />_ OTHER <br />PARCEL TAX I.D. N <br />ICONTACT <br />�, � <br />.1 /'i11 <br />/ y5% <br />Building DMechanical <br />Combinalion �'j Plumbing <br />Demolilion u Sign <br />Sprinkler <br />PERMIT p <br />rnunt <br />��9Z5 , 2 � - , � <br />I�Z/fx."`�/NTftIN✓���Ilvl✓ �1 <br />�, <br />�ddilion <br />WORK Allemtion <br />NPE New <br />RepairlMaint. <br />HEATSOURCE <br />�Electnc <br />Gas <br />Othcr <br />CITY OF EVERETT LOCAL SALES T/V( CODE IS J705 <br />NO. � TYPE OF FIXTURE OR ITEM <br />A�C - AlHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />�IOTHES DRYER <br />�WNGE HOOD <br />WATER HEATER <br />METAL FiREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS P�PING <br />EXHAUST FAN ��� <br />OTHER � C 1��(�1 <br />(U\�-!.0 � � 2ZL � ' � <br />I HEREBY CERITIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AN� CORRECT. ALL <br />PROVISIONS OF LAWS �ND ORIDINACES GOVERNING THIS TYPE OF �VORK WILL BE COMPLIED WITH WHETHER SPECIFIED HER[IN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTIiORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LO�AL LAW REGULATING CONSTRUCTION OR THE PERFORM�NCE OF CONSTRUCTION. THAT I AM AUTH ED BY THE <br />OWNER Of TFIIS PROPERN TO PERFORM THE WORI� FOR WHICH �1PPlICATION I$ A1ADE AND 1 COMPLY WITH THE S AT <br />CONTRACTORS LAW 18.27 RCW AND 296200� �/ ' <br />/ <br />—, ..=l�Y ��--- ,/ �/ar � / <br />