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P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR �TREET, EVERETT, WA 98201 <br />425-257-OB10 — FAX 425-257-8857 <br />SITE ADDRE9S / <br />��a " t. ,S� l�l�. ��f <br />LEOA L07N0. BLOCK <br />DESC. d � � <br />OWNER <br />�uc�oJ C'cti15'r, /�J c . <br />TENANT NAME <br />CONTRACTOR <br />;f.uea�► Co,� ��►c, <br />4� - 3s�'77�k <br />PROPOSED USE OF BUILDINO <br />SI �� �,�y ►�-�, <br />CONTRACT PRICE OF WORK <br />WORK DE9CHIPTION <br />N��I i*xh� Iboq �1 <br />lo�r 3 <br />PARCEL TAl( I.D. • <br />ICONTACTNAME <br />ADORES9 <br />�a � &y� 3oos E��-�r <br />� Bufldlnp Mechanlcel <br />PERMIT Comhlnatlon R Plumhinp <br />TYPE Demolitlon p Sipn <br />Sprinkler <br />N za �1 GR�Nc�E <br />P' IT/ <br />-02 '���2 - OD9 <br />I I �'rx�F 38' <br />ZIP PHONE <br />q$�3 9�i'3SG-77/b <br />PHONE <br />Zli� COHTR. iJCEN9E • <br />`��3 �'ru��.�o99 n7 F <br />Adunbn <br />WORK A�tereliat <br />TYPE 'Jew <br />HepelrRdelnt. <br />HEAT80URCE <br />�Elxtrb <br />Ose <br />Olhar <br />CRY OF FVERF?T LOCAL 8ALE8 TAX COOE 18 J106 <br />oF S�iQr Sd�A��sa�l �# /a.�a-o�t•oo <br />NO. I TYPE OF FlXTURE OR ;TEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 3 DISPOSAI <br />DISHWASHEF <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK jSERVICE/BAR/MOP/ETC.) <br />OTHEF <br />.r, � <br />�� <br />N0. � TYPE OF FlXTURE OR ITEM <br />A/G — A/HANULIN� UNITS <br />FORCEp AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANaE HOOD <br />WATER HEATER <br />METALfIREPLACFJSTOVE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />OAS RANOE <br />QAS PIPINO <br />EXHAUST FAN <br />OTHER <br />i HERE9Y CERITIFY THAT I HAVE READ AND EXAMINtO THIS APPLICATION AND KNOW TME SAME TO BE TRIIE AND CORRE�?�. ALL <br />PROVISIONS li�' IAWS ANO ORIDINACES OOVERNINO THIS TYPE OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO QIVE AUTHORITV TO VIOLATE OR CANCEL THE PnC'+iSION OF ANY OTHER <br />STATE OR LOCAL LAW HEGULATINO CONSTRUCTION OR THE PERFORMANCE OF t'CiJST. RUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO PERFORM 1HE WORK FOR NMICH APPLICATION IS MAGE hND I COMPLY WITH TI1E STATE <br />CON�A� A�LAW g,27 RCW AND 298.200 WAC. <br />( `' � � � �d��f1,01 <br />'/L <br />