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!/� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE AD�F. , <br />3�� NK��.T�UU 8Cv0 <br />LEGAL LOT N0. BLOCK <br />DESC. /�. � Oob <br />TRACT <br />PARCEL TAIC I.D. # I PERh11T p <br />�6o62poon4-lol po4fG-(k'i <br />Na�h ZNVESTMP�.,T' IN� 3�1 rt�r�� c� �s��, ��e�rr `-���=" ���,- i,t�.n� <br />TENANT NAME CONTACT FOR P�RMIT PHONE <br />- Uu���F2 - I L�av�o k�i�l 20(� 618-obol <br />CONTRACTOR � � ^ �V'\ ,;1 � <br />ht � <br />PHONE ('N�_ � � p O <br />�-, „� ri v <br />PROPOSED USE OF BUILDING <br />�v�S S'rMTio�1 <br />Co�.lVtaut,� _ $'Cpp.�., <br />CONTRACT PRICE OF WORK <br />AD�RESS <br />�i o �9 a�* � . <br />21P CONTR.LICENSEp <br />s��► ��U < <�-��� � <br />I�YhHwa�d w� � <br />(� Building Mechanical <br />PERMI7 � Combination R Plumbing <br />7YPE Demolition � Si�n <br />Sprinkler <br />86�j(v <br />Addition HEATSOURCE <br />N10RK � Alteralion � Eieclnc <br />7YPE New Gas <br />RepaidMaint. Othcr <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />WORK DESCRIPTION <br />�NYGYT Ex�Yt�n1G—� MEGPt/t�.IIC.rEL SPACE 1{-lto R�TINL. hRG/4,q.�yD <br />Tnw-�Y rk �I . <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />� LAVATORY (WqSH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TW\Y <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUIJTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />� SINK (SERVICE/BAR/A10P/ETC.) <br />OTHER <br />NO, � TYPE OF FIXTURE OR ITEM <br />A!G — A/HANCLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />c.n��¢.y o,.7T <br />I NEREBY CERITIFV THAT I HAVE READ AND EXA\1WED THIS APFLICATION AND KNOW THE SAM1tE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIOINACES GOVERNMC� THIS TYPE OF WORK 6YILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERM1IIT DOES N0T PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AM11 AUTHORIZED BY THE <br />OWNER OF THIS PROPE TY TO PERFORM THE WORK FCR N'HICH APPLICATION IS MADE AND I COMPLY WITN THE STATE <br />CONT,RACTORS LAN' 18.�7 RCW AND 296200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />