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SITE ADDRESS <br />C_ 777p <br />30 <br />LEGA LOT NO. <br />DESC. <br />PEnMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVrCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8P 10 - FAX 425.257-8857 <br />BLOCK <br />e,,,Ty OF Ei'E��Ir <br />TE14ANT NAME <br />�rl! Slfeea kdy 6t// F/oo✓ <br />CONTRACTOR <br />17d✓ulued Fie <br />f HONE <br />ills) 993 - 56Sl <br />PHOPOSED USE OF BUILDING <br />0`.GiCC <br />PARCEL TAX I.D. Jt <br />006Yy96k3019C1 <br />TRACT <br />3200 4c4'dA✓.1Aw4,, Eve/et4 98,jol <br />CONT CT NAME <br />�11'1(4ha,I N, <br />ADDRESS <br />P!cltCl�aJ Rre, 1-50A 15Y3 <br />— Ldoad it"i4; wA <br />Building Mechanical <br />PERMIT Combination Plumbing <br />TYPE Demolition Sign <br />Sprinkler <br />WUHK DESCRIPTION <br />'11&16ca 7 51- allxle/ <br />AlfM /3 /iyhl waza✓d <br />NO. I TYPE OF FIXTURE OR REM <br />VA I hH CLOSET <br />AT <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_ O1HER�_ <br />I <br />/5 <br />'Vz5)257- 8897 <br />PHONE <br />yz5)vu.3-,565 -7 <br />ZIP CONTR. LICENSE M <br />95v1Z w1/ANFf'z99G6 <br />Atldltiti <br />HEATSOURCE <br />RK <br />E <br />Alteration <br />New <br />QR Electric <br />Gas <br />Repair/Idainl. <br />v <br />U Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310S <br />/leads' � S,, /04a/ 0ic /0 &,ads goer <br />NO. I TYPE OF FIXTURE OR ITEM <br />�� —w"n ULINU UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE 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 PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 29A 211111 WAr <br />