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SITE ADDRESS <br />"I / � L I <br />LEGA LOT NO. <br />PFRMIT APPLICATIC`N <br />CITY Gr EVERETT PEl41411T SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />i <br />BIOCK <br />L.eSae� I�-ov�es �JW 1 r��. <br />TENANT NAME <br />aC�� Ndm'p5 �JW <br />r �l n � .. <br />PROPOSED USE OF BUILDING <br />5 Y' 1` <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />SinS�e -��,1,,���� <br />PERMIT <br />rvPE <br />. <br />NO. I TYPE OF FIXTURE OR ITEM <br />VVH I Ch GLUSt � <br />' �— 9AT�iTUB <br />� LAVATORY (WASH BASIN) <br />_j_ SHO�V'rR <br />�_ KITCHEN SINK & DISPOSAL <br />� DISHWASHER <br />L�UNDRY TRAY <br />I CLOTHES WASHER <br />— URINAL <br />DFINKING FOUNTAIN <br />— FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVICE/BAR/MOP/ETC.) <br />— OTHER <br />�PARCEL TAX I.D. M <br />Z�o5��7oo3-�v,;cx� <br />TRACT <br />/2GZ-3(�-02 <br />nooaess l `6l(05 • L14 Sie�e✓�SQ-�r . <br />�fi ZOU <br />�-iZ � �+e�ev�,S VJ R 9 �Z.S <br />CON7ACTNAME <br />�2�#'2bo7� S� ��2Sre <br />�k. Sae.vens, �t1A�; <br />�Building � Mechanical <br />Combinalion Plumbing <br />Demolilion Sign <br />Sprinkler <br />� <br />0 <br />L✓ <br />PERMIT k <br />;� <br />_ �lc�/-��r/ <br />_ J��y-OS73 <br />PHONE !�� j <br />• -U5 7 + <br />COfQTR..LICENSE ' '• ' <br />� ��r�No y�{ t� k <br />.:e I�� <br />.�y <br />i <br />Addition I HEATS7URCE <br />WORK Alteration R Electric <br />IYPE New J�¢ Gas <br />Repair/Maint. U Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�la/rt�� SPa(.e_ <br />��vin5 S�c.e. <br />3R 7 �- <br />NO. i TYPE OF FIXTURE OR ITEM <br />— A/C—A/HANDLINGUNITS <br />.�_ FORCED AIFi SYSTEMS <br />= HEAT PUMP <br />= UNIT HEATERS <br />�. CLOTHES DRYEF <br />_L RANGE HOOD <br />�_ WATER HEATER <br />= METAL FIHEPLACE/STOVE <br />= FIREPLACE INSERT <br />� GAS FIREPLACE <br />"— GAS RANGE <br />- _.� GAS PIP�NG <br />=i �_ EXHAUST FAN <br />= OTHER <br />� I HEFEBti' CERITIFY THAT I HAVE REA� AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS T'1PE OF WORK WILL BE COMFLIED WITH 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 />STATE OR LOCAL L4W REGULATING CONSTpUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF iHIS PROPERTY TO PERFORM THE WORK FOR WHICH A�pLICATION IS MADE ANO I COMPLY WITH THE STATE <br />CONTRACTOR�,LAW lg,p7 RCW AND 296200 WAC. <br />