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P�RMIT APPLICATI �LN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />_ ZZ2a'r — — <br />SITE ADDRESS �� I � <br />(1- !. tCC SC <br />LEGA LOT N0. ,�LO� <br />DESC. <br />OWNER <br />�-4--P�,�►� 1-�P�1,,} � <br />TENANTNAME <br />CONTHACTOR ��ML <br />�� eC �,� �m��t: T�� <br />PH E <br />PROPOSEU USE OF BUILDING <br />CONTRAGi PRICE OF WORh <br />NORK OESCRIPTION <br />New <br />PARCEL TAX I.D. M <br />30 -oC�l -00�3 -0000 <br />�,��.1-��N ,�C .��-i- ' <br />���70 K (O�'l �v M J ui i�'sn <br />CONTACTNAME <br />AODRESS <br />no � ��s- <br />Nwl�,[.��� f-cia <br />Building Mechenical <br />PEHMI7�Cambinalion � Plumbing <br />TYPE Demolitior, Sign <br />Sniinklei <br />5���(� ��r1t��, <br />NO. I TYf'E OF FlXTURE OR REM <br />WATEFi CLOSET <br />6ATHTUB <br />LAVATORY (WASH DASIN) <br />SNOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LA'JNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREV[NTER <br />SINK (SERVICE'�AR/MOP/ETC.) <br />21P <br />M <br />�� <br />,sO.�S %ann�1"le <br />PMONE.�(2T '�s7-�< <br />a `1)'a7S <br />PHONE <br />" ,a3S-92� <br />CONTR. UCENSE � <br />Id��k�" crr �9zoz <br />,_:�a 3�3 <br />�Atldition NEAT SOUPCE <br />Alleralion I �ElactrK <br />New Gae <br />ReOainldaint. Other <br />C�TY OF EVERETT LOCAL SALES TAX CO�E IS �105 <br />�c S� l O PN�- � i I fL�-C_T[L�'� <br />N0. ! TYPE Of FI%TURE OR REM <br />NC - NHANDLING UNITS <br />_L FORCED AIR SVSTEMS C7 �'s <br />- HEAT PUMP <br />� UN!T H[ATERS <br />� CLGTHES DRVER <br />� RANi,E HOOD <br />� WATER HEATER <br />� METAL FIREPLACE/STOVE �47 <br />--� FIREPL4CE INSERT <br />� GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREOV CERITIFY THAT I HAVE iIEAD AND EXAMINED THIS APPUCATION AND KNOW THE SaME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GO`/ERNING THIS TVPE OF WC�RK WILL BE COMPLIED \YITN WIiETMER SPECIFIED MEREIN OR <br />NOT THE (::1ANTING OF A PEPAIIT DOES NOT PRESUME TO GIVE AUTHORIT r TO VIOIATE OR CANCEL TME PROVISION OF ANV OTHER <br />S�i ATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION TfiAT I AM AUTF!ORIZED BV TME <br />OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR Wh11CH APPLICATION ISlIADE AND I COMPLY WITH THE STATE <br />CONTRACTOAS LAW t827 FCW AND 296200 WAC. <br />v <br />�.—��— <br />1' ,',. �' <br />�`' <br />