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� <br />� <br />SI7E ADDRESS <br />�p l��- � <br />LEGA LOTNO. <br />DESC. <br />C�H�u � <br />TENANT NAME <br />^µ�U n� L� <br />PERMlT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 ���� <br />PARCEL TAX I.D. k PERMIT a <br />�, l� �p -0�3 -pa �- �'o`L. <br />BLOCK TRACT <br />ADDHESS ZIP PHONE <br />45b 5- �46�th-P L� .L�,}nnus�a-d w� q8p3' <br />�u ►�"��On�,s ��c =11-av� n i A <br />-.. <br />PROPOSED USE OF BUILDING <br />��� <br />CONTRAC7 PRICE OF WORK <br />WORK DESCRIPTION <br />%7l» <br />NO. <br />F'ERMIT <br />TYPE <br />� Ko oi) <br />' PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CI_OSET <br />�ATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />CONTAC7NAME <br />C N-�-u �l <br />ADDRESSg�a S }')�y �%�`Q�/� <br />�v..� <br />s�►.-tt,� w� qgr44 <br />BBuilding Mechanlcal <br />Combination Piumbfng <br />BDemolition Sign <br />Sprinkler <br />PHONE <br />�5�-3�7- �6 z z <br />� j�P COMR. LICENSE N <br />r�v� <br />�un1+�dL�o�/cS <br />BAddition I HEAT SOURCE <br />Alleretion (7 Eleclric <br />B New � Ges <br />RepeidMaint. Olhor <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. � TYPE OF FIXTURE OR REM <br />w�+—A/HANULINIi UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATEflS <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 />EXHAUST FAN <br />OTHER <br />I HEFEBI' CERITIFY THAT I HAVE READ AND EYAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PFOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WI1EfHER SPECIFIED HEREIN OR <br />N07. THE G NTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STAT R L AL LAVJ REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSiRUCTION. THAT I AM AUTHORIZEC DY THE <br />O OF IS PROPER TO PEAFOR�hTHE WORK FOR WH�CH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />C N RAC W 78.27�RCW AND 29f!200 WAC. <br />