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PERMIT APPLICATICS�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982G1 <br />425-257-8810 - FAX 425-257-8857 <br />^SITE ADDRESS <br />FZ � � � <br />LEGA LOT NO. <br />DESC. <br />I� <br />NAME <br />oIOCK I TRACT <br />CONTRACTOR � <br />f�ttl�u 1 �(� �L(1i�o� -S <br />PIIONE <br />Zo b� 2-1 � <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION � <br />S <br />aw� - �a rN <br />NZ� <br />NO. I TYPE OF Fl7CTURE OR tTEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAI <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PARCEL TAX I,D. M <br />ADDRESS <br />h�2�2 �i. (iG�fS��K� <br />. , /_ n .-..� -- <br />�Building � Mechanical <br />Combination Plum6ing <br />Demolitlon Sign <br />Sprinkler <br />M�o( /y 5 <br />/ef�. y� • <br />N <br />C:TID <br />ao6- ��z-lyi� <br />LP CONTR. UCENSE � <br />, .�N„�5,� yyo� <br />�Adtlilion I MEAT 90URCE <br />Alteration n Eiadric <br />Naw ❑ Ciae <br />Rapair/Maint. � OMar <br />CRY OF EVERETT LOCAL SALES TA% CODE IS ]105 <br />� HO� - ,�I/�w,.'.,.�� <br />NO. I TYPE Of Fll(TURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCEO AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />QAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST F.�N <br />OTHER <br />I HEREBV CEPITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT. ALL <br />PROVISIONS OF L1WS AND ORIDINACES GOVEHNING THIS TYPE OF WORK WI�L BE COMPLIED':/ITM WHEfHER SPECIFIED MEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIlY TO VIOUTE OR CANCEL THE PROVISION OF ANV OTMER <br />STATE ORFLOCAIQ LAW REGULATING CON RUCTION OR THE PERFORMANCE OF CONSTRUCTION. 'HAT I AM AUTHORIZED BV THE <br />CONT1�Af/fOF19�IlARyVi8,2R RCW ANDFOR � 1E CORK FOH WHICH APPLICATION IS MAOE AND 1 COMPLY WITH THE STA?E <br />i"L7S� <br />