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S�TE ADDRESS <br />� 35 <br />LEGA LOT NO. <br />DESC. � � � � <br />PC.RMIT APPLICATI(� N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />%%%icNAE< .cS,�fEi<A CaE�3'A� <br />TENANTNAME <br />� <br />CONTRACTOR LEo,y �,q,v �ar�:✓ <br />PHONE �/�,7-S J �SZ ' 3 �f�kG <br />PROPOSED USE OF BUILDING <br />5/n1Cv[� FkMtLY <br />�Es� oEw9cF <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. I 1'�FE OF FIXTURE 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 />-a DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />� SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PARCEL TAX I.D. N <br />I Voy96`1 —/// - <br />TRACT � <br />GEG�o✓ Tiv,e! !1 D.� <br />��z �' <br />CONTACTNAME <br />rn;ur�oc� <br />-OJ <br />(41: <br />d�i<<✓E �d�.fG 77' <br />C,¢t,�,�.o,.� <br />ADDRESS j�o9 CrJA�CS: <br />Building Mechenical <br />aERMiT Combinalion Plumbing <br />7YPE �Demolition Stgn <br />LJ Spnnkler <br />N <br />L�- <br />� Sy—i7 33 <br />9'8�mi <br />PHONE <br />1�2s��s�-/�33 <br />LICENSE 1 <br />VnNRac1'i1iNK <br />Additlon <br />WORK Aileretion <br />IYPE New <br />Repeir/Meinl. <br />MEATSOURCE <br />Electric <br />Oas <br />Othar <br />CITV OF EVERETT LOCAL SALES TAJC CODE IS 3105 <br />r��,�.�,� � .� ,v�� �cs•,�v���E- s,F. � . <br />NO. I TYPE OF Fl7(TURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HE.1TER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />i i HEPEBY CEHITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />iPROVISIONS OF LAWS AN� ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITN 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 />IS7ATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I A1.1 AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE RND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW yND 296200 WAC. <br />02 <br />awre oi �wnev�onuacwnHmnonzea Hgem ua�u <br />c�'.G..t..� Cu �.._._- `Iz <br />