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VAR-21-02 13:31 FROWNORTHNESTjrASS11uR 206-374-0834r T-566 P.01/01 F-315 <br />P't:'RMIT APPLICATION <br />I CITY OF EVEHk I I I,tHMI I bt:NV1L;1=*j <br />3200 CEDAR STREET, EVERETT, WA 98201, 425.257-8810 <br />f <br />SITE ADDRESS <br />PARCEL I.D. <br />PERMIT A <br />r71L1p �c%jr�t <br />/TAXX <br />�I <br />OD5 T 100 <br />LEGAL <br />LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER � �G���r�� <br />ADDRESS <br />PHONE <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />11 11 <br />(IAMNCe GhLI <br />CONTRACTOR <br />ADDRESS <br />-7i11AIo'�rZ/uAYX <br />CONTR. LICENSE M <br />a.g-Up E /w p VJ <br />1} l l S°I `7 o If ll� <br />PHONE vvl0 L�7p2� <br />SE'dlt� !JJ l� � 41 `1 <br />ii <br />PROPOSED USE OF BUILDING <br />PERMIT <br />Building y� Mechanical <br />D Combination Plumbing <br />WORK <br />Adpltbk <br />Alteration <br />' <br />HEAT SOURCE <br />(7 Electnc <br />TYPE <br />Demolitlon Sign <br />B Sprinkler <br />TYPE] <br />E <br />NOW <br />Repaidmatnr. <br />B Ge$ <br />Other <br />CONTRACT PRICE OF WORK7 G , Ov v <br />CRY OF EVERETI' IOCALSALEI TAX CODE IS 3105 <br />WORK DESCRIPTION tiyl al <br />lvl-orAl <br />yo- Nk <br />ELUMO <br />NO., TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />WATER CLOSEA/C <br />T <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER _ <br />}— <br />I <br />fL <br />- A/HANDLiNG UNITS <br />FORCED AIRS STEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLAC,E/SrtOVE <br />FIREPLACE INSERT , <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER - <br />_ <br />4 <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORIC INACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERAIIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, THAT'I Ahl AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />