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FcRMIT APPLICATI�IN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STFEET, EVERETT, WA 98201 <br />425•257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />�;/ . i/.Z S l .S� <br />LEGA LOTNO. BLOCK <br />DESC. <br />�( p3Gt� — 0 0 � <br />PARCEL TAX I.D. N PERMIT M <br />oo2go�i9oo3op Joo � <br />TRACT <br />/��4c,t,c C,zNT�k ,Lxc <br />TENANT NA61E I CONTACT NAME PHONE <br />CONTRACTOR ADDRESS <br />�q-uJeC%J a�4r.biNs TNC J��o6-_7.�����.¢11 CT Ml1J <br />PHONE <br />PROPOSED USE OF BUILOING <br />CONTRACT PRICE OF WORK 2 �,�, <br />Building Mecl <br />PERMIT � Combination , urr <br />TYPE Domolilion Sign <br />Sprinkler (a ol heeds) <br />WORK DESCFIPTION <br />/��ur4AN9 � G�as 3',��.v� <br />NO. � TYPE OF FIXTURE OR ITEM <br />/ WATER CLOSET (TOILET) <br />BATHTUB <br />L LAVATORY (WASH BASIN) <br />SHOWER <br />L KITCHEN SINY. 8 DISPOSAL <br />DISriWASHER <br />�AUNDRYTRAY <br />CLOTH�S WASHER <br />_ URINA� <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVIl:EiBAR/MOP/ETC.) <br />21P CONTR. LICENSE N <br />C�9b'33s�� �'AweKFrvd3�- <br />Addition HEATSOURCE <br />Alteretlon Electric <br />NeW -T'r �-eag <br />fiepei�/Melnt. Olher <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />TYPE OF FII(TURE OR REM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PLIMP <br />UNIT HEATERS <br />CI.OTHES DRY�R <br />HANGE HOOD <br />WATER HEATER <br />METAL F�REPLACFJSTOVE <br />FIREFLACE INSEFIT <br />GAS FIREPLACE <br />6AS RANGE <br />GAS PIPING..,- —� �7 1�/� <br />I HEREBV CERITIFY TH.1T I HAVE REAU AND EXAMINED T41S APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACF.S GOVERNING tHiS TYPE OF WORK WILL BE COMPLIED WITIi WHETHEF SPECIFIED HEREIN OR <br />NOT. THE Gf�ANTING OF A PEFiM1T DOES NOT NRESUME TO GIVE AUTHORITV TO VIOLATE OR GANCEL THE PROVISION OF ANY OTHEF <br />5TATE OR LOCA� LAW REGULATING CCNSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOPIZED BV TME <br />OWNER OF THIS PROPERTV TO PEHFOfiM THF. WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY WITN THE STATE <br />CONTfiI�CTOf� W'B2) C�'�' AND 296200 WAC. <br />�Lf7�'1 �Ji�d�i.Ki� 0{''�5' v .� <br />