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SITE ADDRESS <br />���v� - <br />LEGAL LOT N0. <br />DESC. � <br />TENANTNAME <br />PERMIT APPLICAiION <br />CiTY OF EVERETT PERMIT �ERVICES <br />3200 CEDAR STREFT, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />i+,I-�Ue l•,�� ��'L,I��iOG�< <br />BLOCK TRACT <br />� 1�_ . <br />;� � 11�>"i _ 1J� �'� \�' �' �J �� <br />� CONTACT FOR PERMIT <br />CONTRACTOR <br />�c�U U= � b����'�.�.il� l"�it-S L LL <br />PHONE � <br />PROPOSED USE OF BUILDING <br />:�-'.1��1t -\-Crvu,l�' ��\C�.t(\'..'::1 <br />�� <br />cun i rtAc;�� PRICE OF WORK <br />WORK DESCRIPTION <br />�,. <br />y -C.`J�l� �" ' <br />'G� G`/ > <br />PERMIT # <br />CJC;UIC��.�(�Ut'I). «.��5'7��-ITI�� <br />FHON[ <br />�`> �I`l�.-l-ll <br />4DDRESS � ZIP CONTR. LICENSE # <br />t ._ 1 t <br />( ii''�rl ��'.� �11'.�`J�-_ �G�I��-�T:�6L1� <br />-- A.��.S�LIr6 �1.r.i <br />Buiiding , Mechanical <br />PERMIT � Combinalion �Plumbing <br />TVPE Demolition Sign <br />Sprinkler <br />�dtlihcn HEATSOURCE <br />WORK Alteration Electric <br />TYPE + ew �Gas <br />RepaidMainL Other <br />CITY OF [VERETT LOCAL SALES TAX CODE IS 3105 <br />�= � k� ax�...•,\ ��-o� rvw��y .. L:"� cl� ��� l^1 t�i�. �� 3� <br />l <br />NO• I TYPE OF FIXTURE OR ITEM <br />-> uvH i tK CLOSET (TOILET) <br />�BATHTUB <br />� LA�!".TORY (WASH BASIN) <br />� SHOWER <br />t K!TCHEN SINK & DISPqSAL <br />_� DISFIWASHER <br />LAUNDRYTRAY <br />_{_ CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />3P,CKFLOW PREVENTER <br />_ SINK (SERVICE/BAR/MOPlETC.� <br />OTHER <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />wu-rvHANDLING UNITS <br />_L FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES DRYER <br />� RANGEHOOD <br />� WATER HEATER <br />N �AL FIREPLACE/STOVE <br />FIHEPLACE INSERT <br />� GAS FIREPLACE <br />�, GAS R,4NGE <br />� GAS PIPING <br />� EXHAUSTFAN <br />OTHEF <br />I HEREBY CERITIFY THAT I HAVE READ AND EXA611NED THIS APPLICATION AND KNOW THE SAIv1E TO �E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORIDIMACES GOVERNING 7HIS TYPE OF 6VORK WILL BE COM1PLIED WITH WHcTHER SPEC�FIED NEREIN OR <br />NOT. THE GRAN7IDJG OF A PERMI? DOES NOT PRESUh1E 1'O GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TH:�T I AM AUTHOftIZED BY THE <br />OWNER OF THIS PROPERTY 70 PERFCRM THE WORK FOR VJHICH qPpLICATION IS MADE ANG I COMPLY WITH THE STATc <br />CONTR4CTORS LAW 1827 RCW AND 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />��/ <br />