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PCRMIT APPLICATI(�.J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8870 - FAX 425-257-8857 <br />SITE ADDRESS I PARCEL TAX 1.D. N <br />u� i g 1 ob n� S r Su/ <br />LEGAL� LOT NO. I BLOCK <br />DESC �t <br />OWNEH <br />GN �i 5 lo�n.-SF3c'l�C� <br />TENANTNAME <br />CONTRACTOR�O���N �� � <br />PHONE ��U y03 7 K �Z <br />PROPOSED USE JF BUILDINO <br />S F� <br />CONTRACT PRICE OF <br />TRACT <br />ICONTACTNAME <br />ADDRE38 <br />�Q3� �� �� �VG' �t/tr <br />LP <br />9�'�23 <br />PERMIT N <br />K oa, <br />PHONE <br />CONTR. LICENSE � <br />�06 �NP i�2� � <br />5ullding D Mechanicel �i Adm�ron <br />PERMIT � COmbmelion U Plumbing WORK ❑ Alle�elw� <br />TYPE ❑�emolillon �) Sign TVPE � N� <br />�T Sprinkler ReOavMtamt. <br />NEATSOURCE <br />Q Eleclnc <br />B Gee <br />Olher <br />�L I CITY OF EVERETT LOCAL SALE9 TAX CODE IL 7106 <br />�— <br />WOHK DESCRIPTION <br />��-s t�Au- .�' S, c y s rz-�r, i••.- ^, e-h. S�i2 <br />PLUMBINO � MECHANICA�_ <br />NO. I ryPE OF FIXTURE OR REM <br />�� <br />WATFR CLOSFT <br />6ATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 UISPOSAL <br />DISHWASHER <br />LAUNDFiY TRAY <br />C�OTHES WASHER <br />URINAL <br />DRINKING FOUNTA�N <br />FLOOR ORAIN <br />BACKFLOW PFEVENTER <br />SINK (SERVICE/BAR/MOPiETC � <br />OTHER <br />N0. I TYPE OF Fl%TURE OR ITF.M <br />AIC — A/HANDUNO UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTNES DRYER <br />RAN6EH000 <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />QAS FIREPLACE <br />GA5 AANOE <br />GAS PIPIN6 <br />EXHAUSTFAN <br />OTHER <br />% � �-. �•- <br />I HEREBV CERITIFV 'HAT I HAVE READ ANU EXAMINEO Tii1S APPLICATIUN ANO KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF IAWS ANO ORIDINACES GOVERNING TNIS TYPE OF WORK WILI BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOUTE OR CANCEL THE PFOVISION OF ANV OTNER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PFRFOFAIANCE OF CONSTRUCTION TMAT I AM AUTNORIZ[D BV TNE <br />OWIlER OF THIS PRnPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTOFS IA�V l��tl)iCW AND �200 WAC. <br />'/a <br />