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SI-T�7E ADDRESS <br />/�� <br />LEGA LOT N7. <br />DESC. <br />TENANTNAME <br />CONTRACTOR <br />l�TNG's <br />PHONE <br />�cRMIT APPLICATI�IN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. N <br />� t,+ n � t C <br />BLOCK TRACT <br />AD�RESS <br />�/d �O '� 3� S �.�V.0 c � �v . <br />CONTACT NAME <br />c�r���,��7r.�I Gn2y.r. (-'nLC/�/F� <br />l/r�TNG ��/L. <br />ld�Ob/»l-/: <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TVPE <br />CONTRACT PNICE OF WORK <br />WORK DESCRIPTION <br />1 ��S1��L <br />oN �ooF w;l� '�(,,�i <br />.2Gfr oi %ns �',�^t �) <br />N0. I TYPE OF FI%TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 pISPOSAL <br />DISHWASHER <br />LAi iNDRY TRAY <br />CLOTH�_S WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BAC�tFLOW PREVENTER <br />_ SINK �SERVICE/BAR/MOP�ETC.) <br />AUDRESS <br />a 3n N. �� y,�. <br />S /�o/t r L. .�P l.v /�S%�. <br />RBuilding <br />Combination <br />BDemolition <br />Sprinkler <br />�ochnnical <br />Plumbing <br />Sign <br />PERMIT M I <br />h'�d3�3 -d��- I <br />ZIP P�E7�r� C-�. /� S <br />0 <br />PNONE <br />,�)�5 3- s.� 9y. <br />ZIP CONTR. LICENSE N <br />��'�,% (rS /�J 44 S/q <br />5d'/3�. <br />li Addillon <br />�r NIBe��ratlon <br />L� Rapelr/Maint. <br />HEATSOURCE <br />�I�tr� <br />es <br />Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />(/1 New //l�A.� G�,s /r_"iec;�sc u,,,'l- <br />w>�� nNl� �;� s',�to EXs'�!.�,� G�5 L.'.+e(nn��,r <br />NO. I TYPE OF FIXTURE OR REM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATEFS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST AN / <br />Oj'HER I�S /�/c'CT.tfG, <br />/'Opi 7DP Nn�l. <br />-� <br />I HEREBY CERITIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNCW THE SAME TO BE TIiUE AND CORfiECT. ALL <br />PFOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WOf±K WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />�J07. THE GRANTING OF A PER�AIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV TNE <br />OWNER OF 1HIS PROPEIiTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTOPS LAW 1837 FCW AND 296�00 WAC. <br />� ? <br />�� [ .'1 � f �.,_ � . • <br />�.,n� i , r <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />