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� <br />P�RMIT APPLICATIC.N <br />CITY OF EVERETT PERMIT SENVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425457-8810 - FAX 425-257-9857 <br />SITE ADDRESS <br />1 ln �V � �f i <br />LEGA LOT NO. BLOCN <br />DESC. d- � <br />OWNER <br />�� � 1 <br />TENANT NAME� <br />PARCEL TAX I.D. N <br />u-�v �( 333 <br />TRALT <br />CONTACTNAME <br />R �-U, F <br />CONTRAC70R ��-�RK 1_U�'� bA-r (i A�DRESS �'�(�Oq ��3 r� <br />PHONE 3�,a- �a g-o�g� <br />y✓�a,Y c� S, �,V 1� °t �'d0 � <br />raol <br />PHONE <br />ZIP CONTq. LICENSE M <br />rn A R K Ac.coST33 <br />PROPOSEO USE OF BUIIDING Building Mechanical Addi�ion HEAT SOUFCE <br />GArRy-�JC��^�-�- PERMIT �Combination R Plumbing WORK R Alleration n Electr�c <br />C TYPE Demolilion � Sign TYPE R New Gas <br />Sprinkler U FepairRAeinL B Other <br />CONTNACT PRICE OF WORKS j 1� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTON � . <br />� m�u.n. °. R-e �l Y� �R GA r a_�t � c�� Qcx�-1 <br />NO. I TYPE OF FIXTURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHONIER <br />KITCh�N SINK & DISPUSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WA3HER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />N0. I TYVE OF flXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIA SYSTEMS- <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I 1 HEREBV CERITIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KN01V THE SAME TO 8£ TRUE AND CORRECT. ALL <br />I PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WGRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br />. NO i. THE GRANTING OF i. PERMIT OOES NOT PRESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE Pf90V151pN OF ANV OTHER <br />i STATE OR LOCAL LAW REGULATING CON5T9UCTICN OR THE PERfOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORh1 THE WOFiK FOR \YNICfi APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFS LAW 7827 RCbV AN� 296.200 WAC. <br />