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PERMIT p►PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-BB10 — FAX 425-257-8857 <br />SITE ADDRESS <br />�/oa? W ��D� <br />LEGA l0T NO. <br />DESC. a6 � "�7 <br />OWNER <br />� �.u... � L1:� P <br />TENANT NAUE <br />.v�.� <br />CONTRACTOR c� /�FjY �ij, <br />PHONE y�5 ? � y / <br />PROPOSED USE OF lUILdNG <br />CONTRACT PRICE OF WORK <br />WORK DE4CRIPTON <br />PARCEL TAl( I.O. • <br />'�VE� � 00 //� O6 <br />a�ocK rn�cr <br />9 eci�rvx u�o m�.n�^h' <br />CONTACTNAMI <br />�.l�/�ti � <br />� <br />��7 AOO�YiO�'� % d'v!►tdTY <br />/�✓i. <br />17:Cd:i? <br />a��-a.,r,r_�av3 <br />�,� (t) ADORE58 y y, y a�d ns. �, ar CONTR. LICENSE � <br />H�ou.�Irl�c �iueo. ��'/rJ, <br />!� f �� 9'Pri'f3 �I`D/' <br />NO. I TYPE OF Fl7(TURE ON ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY T(iAY <br />� CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FI.00R DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARlMOP/ETC.) <br />OTHER <br />�uildinp � Mechenical <br />PERMIT Combinelion Plumbing <br />TYPE emolilion Sign <br />Spnnkler <br />O, � <br />TYPE <br />AOtlition I NEAT 40URCE <br />Alteration p Elettnc <br />M,w U a,s <br />Repair/Mainl. U Omer <br />CRY Of EVERETT LOCAL SALE4 TAl( CODE IS �705 <br />NO. I TYPE OF FlXTURE OR fTEM <br />NC - AMANDLING UNITS <br />FORCED AIR SYSTEbnS <br />HEAT PUMP <br />UNIT HEATERS <br />_ CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPUCE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFV THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL <br />PROViSIONS OF LaWS AND ORIDINACES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIEO WITH WHETMER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE AUTHOPITY TO VIOLATE OR CANCEL THE PROV�SION OF ANY O1l1ER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BV ?NE <br />OWNER OF THIS PROPERN TO PERFORM TME WORK FOR WHICH APPLICATION IS MAUE AND I COMPLY WITH THE STATE <br />CON i RACTORS LAW _ 1827 RCW AND 298.200 �C. <br />