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P�:RMIT APPLICATI�,N <br />CITY OF EVERETT pERMIT SERVICES <br />3200 CEDAR S'fREET, EVENETT, WA 98201 <br />425-257-8810 - F.4X 425-257-8857 <br />SITE ADORESS <br />� <br />LOT N0. I 9LOCK <br />DESC. <br />A d2w.cc- rn��P-�a�s�l, l��- <br />TENANTNAME <br />CONTRACTOR <br />Ad�m�� C;rt�acz�a�s�s,��c <br />PHONE <br />u�c - ���z_�-, �t <br />PROPOSED USE OF BUILOING <br />�tY��l.z_ �--u�y�a:� <br />R.z=�ic4.�.�.�'F' <br />CONTRACT PRICE OF WORK <br />PARCEL TAX I.D. # <br />'o. I -d� -ood -o� <br />TRACT <br />ADDRESS 7ap <br />t-le-3a-3s �A.��i 4'80��-- <br />CONTACT NA�.1E <br />�j w...�-� a-131 <br />PERMIT q <br />('110� 0��% <br />PHONE <br />�laa -`(�3- \'11`d <br />PHONE <br />:as-i�+3-t't�g <br />)DFtESS 21P CONTR. LICENSE M <br />l�lo3a-3s��q�� S� q5�o�"� �D{L4cL��o3ae.1 <br />� <br />uilding echanical <br />PERMIT �Combination • lumbing <br />TYPE D Demolition Sign <br />U Sprinkler <br />�D Addition I HEAT SOURCE <br />Iterelion �lectric <br />ew as <br />Repair/Maint. Other <br />CITY OF EYERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION C �S��y'_.� y�� � ,n .. � -����p� <br />0 <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDFYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR URAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />✓t�0.ic�t <br />N0. � TYPE OF FIXTURE OR REM <br />_I— <br />A1C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOCD <br />WATER HEATER <br />METAL FIREPLACE/�TOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />1 HEREBY CERITIFY'HAT I HAVE READ AND EXAMINED 7HI5 APPLICATION AND KNOW THE SAME TO BF TRUE AND CORqECT. 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 PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />S7ATE CR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM NUTHORIZED BY THE <br />OWNER OF THIS PROPEFTY 7G PERFORM THE WOHK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AVD 296.200 WAC. <br />