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SITE ADDRE S - <br />N <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />L�.� <br />TENANTNAME <br />�RR �-do <br />CONTRACTOR /�(� <br />i <br />PERMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />� �' 3 Oa�e <br />BLOCK RACT � <br />- �a � �L <br />ADORESS <br />vr�N.S Sia� X�vi�e Gfi�y � <br />CONTACT FOR PERMIT <br />���NS �R1�� oQ�oyc� � <br />P ADDRESS <br />PHONE ��C_2�3_/_/�Z <br />.> � ric�� <br />PROPOSED USE OF BUILDING � <br />�s�N/�E�n«y_- ��m��y <br />�% (/E' (n.- E <br />�/jlnE <br />y�j Building Mechanical <br />PERMIT �i Combination R Plumbing <br />NPE Demolilion � Sign <br />Sprinkler <br />CONTRACT PRICE OF WORK �r� �` r. � <br />WORK DESCRIPTION � <br />S �� S�, �T �nD�ra�t <br />3 ����15 - Z ,(�i�1JiNG �Sr�J, 1 f3i�7� <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />K�TCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARIMOPfETC.) <br />OTHER <br />�o -ao -o <br />98� y�s- 3s� : <br />P�iONE <br />yz5--3S3 -66 <br />ZIP CONTR. LICENSE # <br />Addition <br />WORK Alleration <br />TYPE New <br />Repair/Maint. <br />HEA�OURCE <br />Electnc <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO.. I TYPE OF FIXTURE OR ITEM <br />AIC — A/HAND�_ING 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 />FIREPIACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />� EXHAUSTFAN <br />OTHER <br />I HEREBI' CERITIFY THAT I 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 PRESUM1IE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL l,Y REGULATING TRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS jiOPERTY�'O P FO ,1 THE WORK POR WHICH APPLICATION IS MADE AND I rOMPLY WITH THE STATE <br />CONTRA�7 �AW 18.2 QW 96.200 WAC. <br />� 1 ///// !�/ , /ofl�, y / � "��J� <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�/G <br />