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SITE AODRESS <br />�- �� 7 �� <br />LEGA ` L�� <br />DESC. . /i 2--. <br />9WNER <br />7ij�J%J,! C� �U�/�s. <br />TENANT E <br />PCAMIT APPLICATIC'�.J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257•8810 - FAX 425-257-8857 <br />�� <br />BLOCK <br />PARCEL TAX I.D. N <br />U[1HtS`J <br />..ts1PT�oi� �. r� <br />CONTACTNAME <br />�v� a�o- <br />ERMIT I <br />Dai v - <br />Ly,,.,, �✓h �'Ilrv ?.� <br />PMONE <br />I �o�-2JS- 3Y�2- <br />CONT11/CTOy / ,j � / ADDRESS / ZIP CONTR. LICENSE I <br />/ d � Ge.S �� <br />MONE�SQ�rd �r'f //c' /b'��Lhc ��I , �' L'�7`��s�c1�/7a.G <br />�� � <br />.tynia , G./-� 9'�ai� Y <br />PROPOSED USE OF BUILOINQ <br />�' ^�G-'� C t,_w� � /�[ f �� <br />k <br />CONTRAC7 PRICE OF WORK /b <br />WORK DE9CRIPTION <br />N0. I n'PE OF FI%TUHE OR REM <br />WA7ER GLOSET <br />BATHTUB <br />LAVATORV�WASH BASIN) <br />SHOWER <br />KITCHEN SINK S DISPOSA� <br />DISHWASH[R <br />LAUNDFV TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFJBAFUMOP'ETC.� <br />OTHER <br />Building Mechenicel <br />VERMIT Cambinallon Plumbing <br />TYPE Demalilion Sign <br />Sprinkler <br />AOdluon <br />WORN Allerellon <br />TVPE New <br />Repair/Mam� <br />MEATSOURCE <br />�Eleclr�c <br />�ea <br />Other <br />IClri OF EVERETT LOCAL 9ALE9 TA% CODE IS 7106 <br />NO. I TVPE OF fl1(TURE OR REM <br />NC - A/HANDUNG UNITS <br />� FOFCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATEFS <br />� CIOTHES DRYER <br />_� flANGE HOOD <br />� WATER HEATER <br />METAI FIREPLACE/STOVE <br />FIREPLACE IN�EfiT <br />� (3A5 FIREPLACE <br />GAS FANGE <br />GAS PIPIVO <br />� EXHAUSTFAN <br />OTHER__ <br />I MEREBV CEFITIF'I'NAT I HAVE READ AND EXAMINED TMIS APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORPECT AlL <br />PROVISIONS OF LAWS AMD ORIDINACES GOVERNING �fHIS TVPE GF WOFK WILL BE COMPUED WITH W4ETHER SPECIFIE� MEREIN OR <br />NOT THE GFANTING OF A PERMIT DOES NOT PRES ME TO 61VE AUTMOR�TV TO VIOLATE OR CANCEL THE PRO`11510N OP ANY OTHER <br />STATE OR LOCAI LAW�TING CONSTRUCT OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTMOR12ED 9V THE <br />OWNEP OF THIS PR PERFORM T ORN FOR WHICH APPlICA710N IS MADE AND I COMPLV WITH TME STATE <br />CONTRACTOR � RCW AND e'98 WAC <br />