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SEP-06-01 06:30 FROII-NORTHWIII 206-374-0834 ♦ T-156 P 02/02 F-001 <br />PERMIT APPLICATION <br />4wrr CITY OF EVERETT PERMIT SERVICES <br />32100 CEDAR STREET, EVERETT, WA 98201, A25-257-8810 <br />SITE ADDRESS tY <br />-v 93 " <br />LEGALI LOT NO. BLOCK <br />DESC. <br />*'NE <br />W"1��a� <br />TENANT NAME <br />y4 tyi <br />CONTRACTOR(,,,) C S( V <br />PHONE ) 0 b <br />PROPOSED U8E OF BUILDING <br />S' <br />rl __ <br />CONTRACT PRICE OF WORE: <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OH ITEM <br />PARCEL (TAX I.D. • <br />-CS Hvol X1 '4 , <br />CONTACT NAME <br />IA^jr Lj?' G t[ I ti <br />I. ADDRESS <br />Wf <br />Building Mechanical' <br />PERMIT B Combination Plumbing <br />TYPE B Demolition Sign <br />Sprinkler <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH :,%.4SIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />RACK.FLOW PREVFN'-ER <br />SINK (SERVICE/BAR/IAOP/ETC.) <br />OTHER <br />PERMIT • <br />W)- y� <br />i 3 ss-559� <br />2 PHONE <br />CONTR. LICENSE <br />Addition HEAT SOURCE <br />WORK Alterawn R Electric <br />TYPE Now Gas <br />Repair/Mainz. I �/ LL» Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. I TYPE OF FIXTURE On ITEM <br />A/C - kHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />MFTAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUST A <br />OTHER <br />!I <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 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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNfie if rY^eaSROPE A RCANDORM 0 W TY 0 PERFORM FOR WHICH APPLICATION IS MADE ACID i COMPLY WITH THE STATE <br />r <br />