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PERMIT APPLICATI(�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />DESC. <br />Nok 1 IIS'1;��< [� .r-_V, <br />TENANTNAME <br />PARCEL TAX I.D. k <br />ADDRESS <br />ZiZo yFwr� AvF <br />CONTACTNAME <br />CONTRACTOR ADDRESS <br />FNl17f�//'7 % ipl F-F'nTfl7i�Nl z7n-� �oil� �VE. F <br />PHONE <br />?� � 2,.. 7•� n TAr oMfl 989-z9- <br />PqOPOSED USE OF BUILDING Building Mochnnical <br />l0�lU�/�� / �l/i �,.1 l PERMIT R Combination R Plumbing WpRK <br />TYPE D Demolilion p Slgn 7YFE <br />Q� Sprinklor <br />—� <br />CONTRACT PRICE OF WORK � �'� �-�, $ O <br />ko2oy-oio <br />PERMIT p <br />PHONE <br />I-Z5-zSZ-9Goo <br />PNONE <br />CON7R. LICENSE N <br />'A'rRrFPo99cF <br />�Addillon <br />Alleration <br />New <br />Ropalr/Malnl. <br />NEATSOURCE <br />Elociric <br />das <br />Olhur <br />CITY OF EVERETT LOCAL SALES TAK CODE IS 3105 <br />WORK DESCRIPTION INCTr�� �. f iQE s rR �nirr�E,e SYSTFM / N <br />Cr`NrjOMI�Ut�tM Pl�l`CJ/�t/G �. <br />F� � s Y�'in�i, �_ r- R s <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />B1ITHTUB <br />LAVNTORY �'NASH �ASIN) <br />SHOWER <br />KITCHEN SINK 8 UiS^!�SAL <br />DISHWASHEf� <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ �ACKFLOW PREVENTER <br />_ SINK (SERVICE/BAFUMOP/ETC.) <br />OTHER <br />N0. I TYPE OP FIXTURE OR RF.M <br />_ A/C-A/HANDLINGUNITS <br />_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />_ CIOTNES DRYER <br />_ RANGEHOOD <br />_ WATER HEATER <br />_ METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />_ GAS FIREPLACE <br />_ GAS RANGE <br />__ GAS PIPINa <br />_ EXHAUST FAN <br />OTHER <br />1 HEREDV CERITIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WH[lHER SPECIFIED HEHEIN OR <br />�NOT. TI1E GRANTING OF A PL"RMIT DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEI THE fROVISION OF ANV OTHEH <br />"ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THt PERFORMANCE OF CONSTRUCTION. TI1AT I AM AUTHORIZED BV THE <br />lNER OF i1115 P(iOPERTY TO PEfiFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC70PS LAW 1B.27 FCW AND 290.200 WAC. <br />4 -Z4-02 <br />