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VAR-26-02 11:43 FROMORTMABS ASS IMAR 206-37/-0834 T-623 P.01/02 F-402 <br />P RMIT APPLICATISN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257.881p <br />!R ADDRESS /n� - PARCEL TAX I.D. M PERMIT / <br />e/e / �58a�oa <br />AL LOT N0. BLOCK ACT <br />OESC. i <br />OWNER AODRESS PHONE <br />-unl�-ts�S-lVicaS 9)5-5f7-3�t�q <br />TENANT NAME CONTACT NAME i PHONE <br />CO TRACTOR S c (7 ADDRESS I CONTR. LICENSE it <br />i 3g Uu rrla+�ayxE e vi ; <br />PNpNEvvbr)F�g70. sc-L". ujo �F1 R's14tES�yock) <br />PROPOSED USE Of BUILDING BulldngAeehank el Ado NEAT SOURCE <br />PEpMIT B Combination pb Plumbin9 WORK tfn �i EIWft <br />TYPE Ll Damo101on Sign TYPE Nt p�roa <br />4 LJ Spdnklnr Rapal InL 1J phw <br />CONTRACT PRICE OF WORT: ij� U, uu CITY OF EVERETT LOCAt.',SALES TAX CODE a 310E <br />WRK DESCRIPTION <br />�I <br />II <br />G <br />NO.: I TYPE OF RXTURE OR REM NO. I TYPE OF FIXTURE QR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK t1 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />ArC — A(HANOLING UMITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS I <br />CLOTHES DRYER i <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STPVE <br />FIREPLACE INSERT I I <br />GAS FIREPLACE I j <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER��T <br />I <br />I HEREBY CERITIFY THAT I HAVIS READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRU9 AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETTHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL E FIROVISION OF ANY OTHER <br />STAATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WR7t1 THE STATE <br />COOONNNTRACTOR&LW"A 2\ RCA AND, WAC. <br />