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SITE ADDRESS / � � <br />3 wG <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />C 'D /G �1 le t <br />TENANTNAME <br />�ron }�'n <br />CONTRACTOR ' <br />��_ iMIT APPLICATIO.: <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 <br />//9 U/ <br />BLOCK <br />PMONE <br />� f� 1)'��� <br />e <br />PARCEL TAX I.D. R <br />OD y(9�� p�� <br />TRACT <br />CONTACTNAME <br />Se �-� <br />ADDRESS <br />PERMIT • � <br />� � Uo�d��r�� <br />ZIP PHONE <br />'f,2C�l y,�5 330 303 <br />PMONE <br />5��?5 330 3a35 <br />LP CONTR. LICENSE M <br />PROPOSED USE OF BUILDING BUllding f� MeChBniCal Addition MEAT SOURCE <br />PERMIT Combinetion H Plumbing WORK �R../ Alteration R Electric <br />�/,��•� TYPE Demolilion L) Sign TYPE u New �j Ges <br />P Sprinkler U Repeir/MainL U Olhar <br />CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE 13 3105 <br />WORK DESCRIPTION <br />J 1 <br />r , .�� :-� �� - <br />N0. <br />TVPE OF flXTURE OR REM <br />_ WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />BACKFLOW PREVENTER <br />SINK (SEHVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I 7YPE OF FlXTUpE OR REM <br />A/C — A/HANDIING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNiT hiEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPi.ACE INSERT <br />GAS FIREPI.ACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CEFI7IFY THAT I HAVE REA� AND EXAMINED TH�S APPLICATION ANO KNOW THE SAME TO 8E TRUE AND COPRECT. ALL <br />PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A?ERMIT DC[S NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV�SION O� ANY OTHER <br />S7A7E OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 4M AUThIOR12ED BY THE <br />OWNER OF 7HIS PROPERTY TO PERFORM THE WORK FOFi WHICH APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRgCTQRS LAW 1827 RCW AND 296200 Wr,C. <br />�-/2 -oL <br />