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F� cRMIT APPLIC�4T�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SRE ADDRESS � <br />.h 5 � 0 1� <br />LOT N0. I SLOCK <br />DESC. <br />C, <br />TENAHTNAME � <br />�ll� <br />CANTRACTO <br />�K��e�� <br />PHONE ��S r7 �Ct _ 16'�� <br />4� V <br />PROPOSED USE Of OUILqNG I <br />p_�,(�„ _ � PERMIT <br />I\JZ Ucrnnt�C� TYPE <br />CONTAACT PRICE OF WORK <br />PARCEL TAX I.D.1 <br />o c� ���i S�S o� '� o �'�� <br />T}1ACT <br />55 �a �e�ov�, � <br />CONTACTNAME <br />�a.�� � <br />ADDRESS <br />�3 y�s3�-3o3S <br />PM�5�53a35 <br />LP CONTA. LICENSE 1 <br />�kZ��S`�U2cg <br />BPilding � Mechanical I Add�ttbn I HEATSJURCE <br />Combinatian Plumbing WORK R�..jAiteretion R Electric <br />Oemolition ) Sign TYPE �j New �j Gas <br />S rinkler U Re ir/Mefnt. L� OTher <br />CT' OF EVERETT IOCAL S�LES TAX COOE IS �105 <br />WORKCIESCRI ON ��ls�/�� � � � " ` /� J�r. <br />�O'vl. � O �('G� <br />NO. � TYPE OF FlI(TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASti 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 �REVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF FlXTURE OR ITEM <br />A/C — A/HANDLINCi UNITS <br />FORCED AIP. SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STQVE <br />rIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIFY THAT I HAVE REAO AND EXAMiNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISICNS OF LNWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPlIEO WRH WHEfHER SPECIFIED HEREIN OH <br />NOi. THE GRANTING OF A PEPMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHEP <br />STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTAUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER QF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />°C�..� a - � - 03 <br />Signat ner/ ontractodAuthonzed Ag Y ete �\ <br />...� 1,, 1 <br />' DEBIT & CREDIT CARDS AHE NOT ACCE�TED J <br />