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� <br />� <br />P�,��MIT APPLICATIG�J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8b57 <br />SITE ADDRESS <br />v4o7 3 �Q P�, s.E. <br />DESGr I <br />OWNER <br />SoHN �F�n��A <br />TENANTNAME <br />PARCEL TAX I.D. k <br />BLOCK TRACT <br />ADDRESS <br />W��i�a�,s 93 a7 <br />� CONTACTNAME <br />:3�PL.S,E. <br />PEF.MIT M <br />P�aoa -�� <br />PHONE <br />5`.�S-3: <br />PHOhE <br />� %�'1//�£ �'hAC� �7`,2�- �� "�S`5'6 <br />CONTRACTQR //A� � �'C4'V�j/ � ADDRESS/�.�Qi / .inb /J� U ��2 i,/ 'I%'LGCY� E O % %�OFj <br />AHONE � /O ' b�z — S�GI <br />6 <br />PROPOSEU USE OF BUILDING <br />S�F. ,e, <br />PERMIT R <br />TYPE D <br />D <br />Building D Mechenical <br />Combinalion �+ Plumbinp <br />Demolition �] Sign <br />Sprinkler <br />WORK �7C) <br />TYPE D <br />U <br />Addition I HEATSOURCE <br />Alteralion ((�( Electric <br />New D Gan <br />Repair/MainL � Other <br />CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK OESCRIPTION <br />�QEP[�9ci^�, PLUn,4in� FiXTU�S <br />NO. I TYPE OF FINTURE OR REM <br />�_ <br />� <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHO W Eii <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVIC[/BAR/MOP/ETC.) <br />OTNER <br />NO. I TMPE OF flXTURE OR REM <br />A/C — WHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WAtER HEATER <br />METAI. FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREf'LACE <br />GAS fiANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIFY ?HAT I HAVE READ AND EXAMINED THIS APPIICATION ANJ KNOW THE SAME TQ BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WOfiK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE OR LOCAI LAW REGUTAlING CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AU7HOR12ED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM1I THE WORK FOR WHICH APPLICATION IS MAOE AN� I COMPIY WITH THE STATE <br />CONTRACTOflS LAW 1827 RCW AND 296.200 WAC. <br />c�-o20-O Z <br />