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SITE ADDRESS <br />v2�J� �%irc��Hj�� <br />LEGAL LOT NO. <br />DESC. � i � � �/7- 1 °{ <br />'j,'�rl /I�e�s <br />TENANTNAME <br />5qmr� <br />� <br />NERMIT APPLICAT�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — �=AX 425-257-8857 <br />PARCEL TAX I.D. # <br />� �e- dU O O i <br />BLOCK TRACT <br />N�i `� �L� �-�O � : � <br />ADDRESS <br />,�3�-s v,� �y, �i R A� c c� <br />CONTACT FOR PERMIT <br />�i10��i'�/ C��2rIf�"' <br />CONTRACTOR <br />Ow�_ 13ac1� Gc�S}o�� $�,�Idr�y� <br />�•i-� a,�� <br />USE OF BUILDING <br />C�A �'`\ `i �- <br />CONTRACT PRICE OF WCRK <br />WORK DESCRIPTION <br />�ole 13�.�latti.e� <br />N(i. I TYPE OF FIXTURE OR ITEM <br />\DDR SS . ZIP <br />�C::ZScolh�� q�c. 98ao1 <br />Sfe..3 ��II�; <br /># <br />1�3`�•IXyo <br />CON LICENSE # <br />cx.�3Rc. �y9sc z <br />I [� uilding ❑ Mechanical ���'''))) Addition HEAT SOURCE <br />PERMI7 �) Combinalion �j Plumbing WORK �Ileralion li Electnc <br />1YPE Demolilion U Sign TYPE ew Gas <br />B Sprinkler Repair/Mainl. Other <br />I QO CITV OF EVERETT LOCAL SALES TAX COOE IS �105 <br />/(,. x 2 3- <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHCWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. .( NPE OF FIXTURE OR ITEM <br />A/C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPIACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAM1IINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORI�INACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW � 8.27 RCW AND 296.200 N�AC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />'z <br />