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a <br />PEriMIT APPLICATION ' <br />��j%� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />4�5-257-8810 - F.4X 425-257-8857 <br />-- , /;" 70� - 7 <br />SITE A�ORESS PARCEL TAX i.0. q PERMtT 4 <br />3�y: M`Do��n�� n�r= i7043�107'�ZcSIlUO P��• 12 cx+3 <br />LEGAL LOTNo. BLOCK TR4CY <br />DeSC. j ��• �'7 �7�Z, <br />�>ti1�tC=D WA'i Of- Sr.lo4-�ol'li`-�{-� <br />TENANTNAME <br />ua�rco WA'f a( 5iJo4lor�lSj{ <br />3�2n M`Do�YaA�I. 1v1� � C-�IG-Kc:rf �n)A <br />CONTACT NAME VNONH <br />�/-��J MO�=FC-r <br />A25432 4�lol <br />CONTRACTOfl A�DRC-SS ZIP CONTR.LICENSEY <br />AFr Fi�zr P�oTi c�toN 5�ls�c NS, IrJi • �32zo �-fnP�F VAu.C-Y l-��Y SC.� 3p /� <br />PHONE (`-iL�PIC- v/�UL-�(, WA qQ�p�£3 '-`��F113141�I <br />az6 �s32•4�101 <br />PROFOSED USE OF BUILOINq <br />PERM�T <br />TYGC- <br />CONTRACT pqICE OF WtJRK ,� Z'�G(' �� <br />Y/oqK OESCRIPTICN <br />(-���L NtnpS /�DDC D, <br />NO. I TYPE OF FIXTURE OR REM <br />wqTERCLOSET <br />_ 6ATH'UB <br />�qVATORY (WASH BASIN) <br />_ SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />_ �ISHWASHER <br />_ Li1UNDRY TRAY <br />_.,_ C�OTHES WASHER <br />_ UI�INAL <br />�f�INI:INO FOUNTA�N <br />FLOOR DRAIN <br />OnCKFLUW FREVENTER <br />� SINK (SERVIGFJ6AR/MOP/ETC.) <br />� OTNEfi ^ <br />- —I — _ <br />—I-- ' <br />Building <br />Combination <br />oomarno� <br />Sprinkler <br />RMcchanicel <br />Plumbiny woRl <br />D Sign 7VPE <br />14cy� Add.lion I HE0T90URC! <br />I ) Altemtlon (7 Elcctrk <br />BNew � Gys <br />RopairlMainL Olhar <br />CITY OP EVERETT LOC 5L SALES T�X COpfi IS ]105 <br />NO. � TVPE OF FIXTURE Oq ITEM <br />NC –A/HANCLING UNITS <br />FOnCED AIR SYSTEMS <br />H[AT PUMP <br />UNIT HEATEFS <br />CLOTHES DFYER <br />RANGE HOO� <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIFEPLACE INSERT <br />GAS FIREPLhCE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER_ <br />i � IGF�6Y CERITIFV THAT I HAVE RBAD AN� EXA611NED i NIS APFIICdTICN AND KNOW THE SAM1fE TO BE TRUE ANO CORRECT. ALL <br />F�novI51GNS OF lAWS i.NU UFIIDINACES GOVEFNING THIS iYPE OF 140HY. WILL 6E CCfdPLIE� WITH WHE7HER SPECIFIED HERfiIN OR <br />.'.U7. THE GRAYTING Of A PERMIT OOES NOT PflESUME TO GIVE AUTHOpITY TO VIOL�i[ OR CANCEL THE PROVISION OF ANY OTHEq <br />57ATE OR LOCnL LALY REGULATING CONSTRUCTION OR THE PERFORMANGE OF CONSTRUGTION. TMAT I aM aUTHORIZEO BY THE <br />CwuER UF Th.d PROPGR7Y TO PEflFORM THE WORN FOF WNICH APPUCATION IS tdAOE A+1D � COAIPLV WIl'H THE 57ATE <br />CO'J i FACTOPS L�1�W ]��.2> RCW AND 296.200 WAC, <br />C�c� r'�`�� �Z • I 3 a 7 <br />