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SITE AD6RESS <br />LOT N0. <br />G,�/� o � c�c�r1� <br />PERMIT APPLICATI()N <br />CITY AF EVERE�"T PERMIT SERVIGES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 42.�'i-257-8857 <br />PARCEL TAX I.Q. M PERI.'IT a <br />�e� _ �, <br />= <br />BLOCK TRACT <br />ADDRESS 3ZJU ZIP PHONE�,ar��r7�zY <br />/'vba� u/.v.;�,�t5 c��t s;. E�.�,z�;, c•�.A qBzu� <br />TENANTNAME <br />E� f'i.�' H�i+i.✓i. crt��,.� <br />CONTRACTOR <br />PHONE <br />CONTACTNAME <br />/J9�c�h�f� /J- /Zc.3�..�sa,t/ <br />ADDpESS ZIP <br />PHONE <br />�y�Si2s 7 3�<!8 <br />COYTR. LICENSE N <br />PROPOSED USE OF BUILDING Vo� �uilding n Mechanical I Additlor HEAT SOURCE <br />PERMIT I) Combination C 5 Plumbing WORK �niteration �Elrzctric <br />TYPE F_� Demolilion � Sigi� TYPE New Gas <br />LJ Spfinkler f;epair/Maint. Othar <br />CONTRACT PRICE OF WORK �,ITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />/�J.ST.4CCi7i /o-✓ Or /i %£+s+f'aC�t�r}� CU.'�STi?uc i /pni ii7�/GE�� <br />Esi icr9A: f+� /2�'u�o. / c />P.—.z or /.�fc ¢.ri/Sf.2 2003. <br />NO. I TVPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATI�TUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />F�OOR DRAIN <br />BACKFLOW PREVENT�R <br />SINK (SERVICEiBAR/MOP/ETC.) <br />OTHER <br />NO. � TVPE OF FIICTURE OFl ITEM <br />A/C - AlHANDLING I�NITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT IIEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSEF7 <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAI� <br />OTHER <br />I H[REBY CERI7IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE A��D COFRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL 6E COMPUED WITH WHETHEfi SPECIFIED HEREIN OR <br />NOT. THE GRANTII.G OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEF <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR W'r11CH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFS LAW i8�7 RCW AND 296.200 WAC. <br />