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SITE ADD(R}ES: <br />-/ C7 <br />LEGA LOT <br />DESC. <br />OWNER <br />eoc3�tr <br />TENANTNAME <br />��.�RMIT APPLICAT�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />��ND sr��- �� <br />BLOCK TRACT <br />� <br />CONTHACTOR <br />�-k� ��t�-� <br />PHONE <br />4 �31 � <br />5����5 <br />PROPOSED USE OF BUILUING <br />d= R <br />CONTRACT PRICE OF WORK <br />PARCEL TAX I.D. # <br />�03d00100(e�2 <br />ICONTACTNAME <br />�� �✓y� '� <br />�J£ , <br />ADDHESS <br />i � 3 �y ►+'^� � <br />g u sx-� � � <br />� . <br />n Buil��ing � Mechanical <br />PERMIT r5 C�,m:•ination Piumbing <br />7YPE �� Cemolilion Sign <br />D iprinkler <br />Ce �`-� t "— <br />PERMIT N <br />%c��-1 � V <br />t(7& -�130�{ <br />Addition <br />Alleration <br />New <br />Repair/Maint. <br />LICENSE M <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVEFET T LvcA� sa�ea : nn �w� �� ���� <br />WORK �ESCRIPTION <br />y svsr���. F�RNu�e.� ,�acswaEK � H-�1 f. <br />NO. I TYPE OF FIXTUqE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISiIWASHER <br />LAUNDRY TRAY <br />CLOTHE�'vJASHER <br />URINAL <br />DRINKIVG FOUNTAIN <br />FLOOR DRAIN <br />BP,CKFLOW PREVENTER <br />SINK (SERVICElBARlMOP/ETC.) <br />OTHER <br />NO. I TYPE OF FI%TURE OR ITEM <br />A!C —A/HANDLING UNITS <br />FOF;CED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHF.S DFYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS �'r ;4WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �NITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE G!iANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TG VIOIATE OR C'�ANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIUN. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH fPPIICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR�TORS LAW 18.D CW At�D 296.� <br />� i f i3 U3 <br />