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SITE ADDRESS <br />LEGAL LOT N0. <br />DESC. <br />GWNER <br />— ��v `.'.�Ll <br />TENANTNAME <br />P�r�MIT APPLIGATIOi� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR �TREET, EVERETT, WA 98201 <br />425-25--88' 0 - FAX 425-257-8857 <br />S/E� �ZC�Se ��.! <br />PARCEL TAX I.D. M <br />�C'' �5 �'� � C 1 ' X�'i c <br />TRACT <br />— _� �' `. � s <br />a-o� - o � 7� <br />PERMI7 q <br />C C7 o�C� c�--0 C� <br />�%P7-/��yf�,lii; �/t,{-'1�2. (• <br />.-�vc , i'vc�rc� �t, k�A, f�r�os <br />NAME <br />PHONE <br />SAr^� C � .Sr o l�/ %�d, u y 1_ S-.'Z 3�-6 �. 90 <br />CONTFiACTOR �.��v�/t,�/ sc` �. ADDRESS <br />ZIP CONTq, LICENSE M <br />PHONE �.(le.Iv�7i`-( �.�J`, ��-..r_. S/QT-1 �C' <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORKDESCRIPTION � /� <br />8uilding Mechanical Addition NEAT SOURCE <br />PEFiMIT Combinalion Plumbing WORK �Allcra�ion Eiectric <br />TYPE Domolition Sign TYPE New Gas <br />Spfinklef qepuidldaint. Other <br />CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 <br />I,G� � � a"a' � �-- <br />NO. � TYPE OF FIXTURE OR ITEM <br />vvH i cn GWJt I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOIh'ER <br />KITCHEN Si JK & DISPOSAL <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />UR�NAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOI'J PREVENTER <br />SINK (SERViCE/BAR/MOP/ETCJ <br />OTHER <br />N0. � TYpE OF FIXTURE OR ITEM <br />A/C – A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUI.AP <br />UNIT HEATFRS <br />CLO1 HE5 DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAI F�REPLACE�STOVE <br />FIREPLACE INStf.T <br />GAS FIPEPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER_ <br />I HEflEBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME .TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AVG OFIDINACES GOVEFiNING THIS TYPE OF WORK WILL BF. COMPLIED WITH LYHETHE9 SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL I.AW REGULATI�G CONSTRUCTION OR THE PEFiFOR�AANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS h1ADE AND I COMPLY WITH THE STATE <br />CON7RACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� <br />�_—. ... _ `-1 � rY, �c��,- � %c� ro-Z_. <br />�+ r 1 Q �a .] � �,, �c� <br />