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SITE ADDRESS <br />�` I �c j,..� <br />LEGA LOTNO. <br />DESC. <br />��-1` ' <br />TENANTNAME <br />CONTRACTOH <br />�:RMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425457-8810 — FAX 425-257-8857 <br />6 <br />BLOCK <br />PHONE �LI�I V�/u'y(� %1 �)/ <br />-i <br />PROPOSED USE OF BUILOING <br />�1-1 �� I f l I�urvf� ��) <br />PARCEL TAX I.D. N <br />TRACT <br />I ✓i�"_ ��i,�0 1-iflU. <br />ICONTACT NAME <br />�7 4�Cl.i C� f>Ll�l /t-Z � <br />(� Building Mechanical <br />PERMIT �] Com6inalior. Plumbing <br />TYPE � Demalilion Sign <br />�� Sprinkler <br />CONTRACT PRICE OF WORK �(.�0� �� <br />�'t <br />WORK DESCRIPTION <br />N0. I TVPE OF FIXTUHE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASFIEFi <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PFiEVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PERMIT N <br />rnoz <br />F�fl- l l5�` �In �}� I <br />PHONE <br />�(� `� ' ��>>tJ - �� O <br />21P CONTR. LICENSE M <br />�Addition HEA�URCE <br />Alterallon lectric <br />New Gas <br />RepeidMainl. Olher <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />NO. I TYPE OF FI%TUNE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEM5 <br />HEAT PUMP <br />UNIT HEATERS <br />CIOTHES DRYER <br />RANGEHO00 <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHEF <br />I HEREBV CERITIFY'HAT I HAVE READ AND EXAMINE7 THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS AND ORIOINACES GOVERNING ?HIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT 7HE GRANTING OF A PERMIT �OES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISION OF ANY OTNER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR�ZED BY TNE <br />OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18�7 RCW AND 296.200 WAC. <br />�.�� 1 Lic..�CfL- -b�—!"ti-�'`-7� '-` " c��" v C� <br />