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� <br />P�RMIT APPLICA�'I�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 />(p3Z0 i�v�i <br />LEGAL L9T NO. <br />DESC. -� <br />� A-N �o V � <br />TENAN'NAME <br />�T4-T Wi2E(�55 <br />CONTRACTOR �D <br />PHONE ��./1 G � <br />f'�- �,. <br />PROPOSED USE C F BUILDING <br />�j%jlb-i�i�a <br />9�C+Z,(!3 PARCELTAXI,D.# PERMITR <br />Wp.1 003930 e�00 007 BO S�J� 03-00� <br />BLOCK �`��`�I11�S �\VISION 1`1� J <br />t <br />AD�RESS ZIP PHONE �. <br />wA9aze� �iz-b <br />2�z3z �-�*`' .4r£ S� ,�a� ��rE z.o7 R�F�#L�-� 353-l0777 <br />GONTACTFORPERMIT -p .gp,� PHONE <br />�3� u- I�c�2-r-1� ���;wt�sµ 94�t� `nS-Z60-629 � <br />ADDRESS ZIP CONTR.LICENSE# <br />��5�. <br />Buildin;l Mechanical <br />PERMIT � Com6ir:s!i•.n R Plumbing <br />7YPE Demolition � Sign <br />Sprinkler <br />CONTRACT PRICE OF WORK 1t /!' � �p� <br />�V �O J <br />�Addition HEA750URCE <br />Al�nration � Electric <br />Now Gas <br />Repalr/Maint. Olhar <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORKDESCRIPTION �(-/�S.k%i,�-�T,1-tf��v O� /?^�., (A!/(E�eSS '�f!'NVL IQ-NTENhlp Q/1 'f'i10 <br />�IFO� :�F A'N �,ST���� BFP�GE �J�-�G W�T� CTiLQrJNO �DVNT�R7 L(¢JIPAh�PJf <br />u0 ! NPE OF FIY.TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVhTORI' (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />� LAUNDP,YTRAY <br />CLOTHES WASHER <br />URIN�L <br />�RINKING �OUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOPIETC.) <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC -AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT IIEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />ME7AL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CCRITIFY 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 KVRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZE� BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY 1MTH THE STATE <br />CONT�ORSo�1&27FjQ�N�g� WqC. /�/3//O � <br />� <br />�!! /� <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />1� <br />