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PE-IMIT APPLICATIC l <br />OOE7r CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 - FAX 425-257-8857 <br />SITE ADDRE§A G/ OM -A < <br />-L_GA LOT NO. BLOCK <br />DESC. <br />.VNER i111 <br />SIol H(45I �✓Iq S <br />TENANT NAME <br />PARCEL TAX I.D. N <br />�0507 v03 03700 <br />TRACT <br />CONTACT NAME <br />N <br />qK-7g0 - 7553 <br />PHONE <br />CONTRACTOR <br />! �U1{ ( ,DRESS C„1j L (v5Z� 1 F}i0y�{� ZIP CONTR. LICENSE N <br />PHONE l-lw fru JV �yv`^w on d ,/ wl" 119037 <br />yZS-743-ISSS J �7n✓I.n.'o T/hlnA/nt-/1/741'� <br />PROPOSED USE OF BUILDING <br />1Sa Building I--1 Mechanical <br />I--1 Addition <br />HE SO URC <br />PERMIT <br />Combination Plumbing <br />ILF---J(( <br />WORK <br />Ilpv-(¢Alteration <br />El c <br />TYPE <br />Demolition Sign <br />TYPE New <br />1111 J��1` <br />Sprinkler <br />Repalr/Meinl. <br />I <br />CONTRACT PRICE OF WORK <br />C]� ? 2 "// <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION I <br />Caps-1U(+ r1w dAatly-d �aJ� I''`Gv►IZ qc,r�� 1'Dr SI�rQ` VS�. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICA'_ <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />_ <br />_ <br />WATER CLOSET <br />BATHTU <br />LAVATOR (WASH BASIN) <br />SHOWER <br />KITCHEN SI 8 DISP AL <br />DISHWASHER <br />LAUNDRY TRA <br />CLOTHES W <br />URINAL <br />DRINKI FOUNTAI <br />DRAIN <br />BAC FLOW PREVENT <br />SINK ISERVICE/BAR/MO TC.) <br />OTHER_ <br />_D <br />_ <br />HANDLING UN S <br />AIR SYST <br />MP <br />ATERS <br />ER <br />D <br />EA R <br />IREP E/STOVE <br />CE INS T <br />XEN <br />EPLACEFL00 <br />GE <br />GAS PIPING <br />EX14AUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS °PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REG LATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PER TO PERFORM THE WORK FOR WHICH APPLI ATION IS MADE AND I COMPLY WITH THE STATE <br />TRACTORS.LA 18.27 N nND 295.200 WAC. / <br />I� z b <br />