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� <br />� <br />PERMIT APPLICAT�'QlN <br />CITY OF EVERETT PERiViIT SERVICES <br />3200 CEDAR STREET, EVERETf, W1� 98201 <br />d25-257-8810 - FAX 425-257-8857 <br />SITE ADD�Il4 �-� ��� ,�il l��\ . <br />LEGA LOTNO.,--� BLO <br />DeSC. <br />OWNER <br />JOt,O Ci26E1G 111/� � `� I�� I l. <br />TENANTNAME <br />N �� <br />CONTRACTOR <br />PI10NE <br />PROPOSED USE OF BUILDING <br />5,��� C�� <br />CONTRACT PRICE OF WORK <br />WORK �ESCRIPTION <br />P��.� �� y a <br />� �5,� a�� q 3 <br />NO. I TYPE OF FIXTUF;E OR ITEM <br />PERMIT <br />TYPE <br />Z WATER CLOSET (TOILET) <br />�BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />� KITCHEN SINK & DISPOSAL <br />_L DISHWASHER <br />LAUNDRYTRAY <br />� CLOTHES WASHER <br />URINAL <br />T DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PRE'VENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />\�J <br />n.� ��.�.� Es <br />!�'(L SYRa�11.� S W A� �`--�TAtJ W oU'P � <br />CONTACT NAME � Q-�, �A �[ <br />PERMR R <br />G03a <br />WrQ, q�j29Z <br />PHONE G�1� <br />�(�P�� CaW�h�.6 33'l-`�y35 334-593�, 33o-2yZv <br />ADDRESS <br />Buildir:q j'� Mechanical <br />Combinalion � 5 P�umbing <br />Demolilion p Sign <br />Sprinkler (x ol tieuds) _ <br />CITY OF LVERETT LOCl1L SALES TAX CODE IS 3105 <br />ZJp CONTR. IJCENSE M <br />C�o�o��>Eo349N�i <br />�`,c P. � o /Zz/�� <br />Addilion <br />WORK Altaration <br />7YPE New <br />RapairlMainl. <br />HEArT-�SOURCE <br />�E�QClflf. <br />Gos <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A!C — NHANDLING UNII'S <br />FORCED AIFi SYuTEMS <br />HEAT PIIMP <br />UNIT HEATERS <br />CLOTI IES DRYER <br />RANG[Ii00D <br />WATER HEATER <br />METAL FIFEPLACElSTOVE <br />FIflEPIACE INSERT <br />(iAS FIREPLACE <br />GAS Rl1NGE <br />GAS PIPING <br />EXHAI.IST FAN <br />i OTHER <br />i <br />I HEREBY CERITI�V THAT i HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TH1= SAME TO BE TflUE AND CORR . <br />PROVISIONS OF tJ�WS A�ID OR�DINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRti ITING OF A PEFMIT DOES NOT PRESUME TO G�VB AUTHORITY TO VIOLATF OR CANCEL THE PROVISICN OF ANY OTHEfl <br />STATE OR LOCAL LAW REGULATItJG CONSTRUCTION OR THE PERFORMANCE OF CONuTiiUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPER fV TO PEFlFORM THF WORK FOR WHICH APPLICATION IS MAQE AIJD I COMPLY W�TH THE S7ATE <br />CONTf�T1C�OFS LAW 1�2�AND 296.200 WAC. <br />! J /) 1 � lt��� 3 <br />� J �tl,s i� � <br />,. __i—�.._ _, �,.,..,,.�r,,,,��,�i�dnumonzed Aaent �Ql� Z' <br />