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��'ERMIT APPLIC,�►Y_ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />.� <br />LEGA OT N0. <br />DESC. <br />OWNER <br />j��f"'�,_ <br />TENANTNAME <br />�ONTRACTOR <br />/!-{</fl �J �lS/ : <br />PHONE <br />PROPOSED USE OF BUILDING <br />BLOCK <br />PARCEL TAX I.D. If <br />CONTACT NAME <br />7"�: , �C� `S�X �'! %� <br />/NGLk % r9/+liC. y /� �zS, <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />%�ew <br />NO. � TYPE OF FlXTURE OR REM <br />Aa <br />j� By �'Iding Mechanic <br />PERMR ry�ombinetion R Plumbing <br />TYPE Demolilion � Sign <br />B Sprinkler <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPlETC.) <br />OTHER / <br />✓ <br />PERMR �l <br />�//-Dv Go�l�-DOL. <br />14,� I % /G�y <br />LP P ONE <br />9�adl� /r�s"=34.�_tSc� <br />PHONE <br />� y�s =3y�-�S-aa <br />1 LP CONTFi. LICENSE � <br />%d'� 6 1�`1 /'�`/G ID/v 8/� <br />�di�bn <br />Alleratbn <br />ew <br />RBpair/Mein�. <br />MEATSOURCE <br />Eleciric <br />as <br />Other <br />CITY QF EVEREIT LOCAL SALES TA% CODE IS ]705 <br />TVPE OF FlXTURE OR ITEM <br />A!C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPIACE INSERT <br />6A5 FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN / I � <br />OTHER <br />� <br />' I HEREBY CERITIFY'HAT I HAVE READ ANC EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. aLl. <br />PROJISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OH CANCEL TNE PROVISION OF ANY OTNER <br />: STATE OR LOCAL LAW REGUUITING CONSTFUCTION OR THE PERFORMANCE OF CONSTAUCTION. THAT AM AUTHORIZED BV TME <br />OWNER THIS PFOPERTY T ERFORM THE WORK FOR WNICH APPLICATION IS A1ADE AND I COMPLY NITH THE STATE <br />� CONT�ORS/L'AW 18.27 W A .Z00 WAC. <br />.t. �� �- /�-/D�Oo� <br />� <br />��� ?,1�9� /� <br />