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SITE ADDRESS <br />LOT NO. <br />TENANTNAME <br />�ERMIT APPLIrA � ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi', WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />BLOCK � TRACT <br />Ji �.�-�c �5S <br />CONTACTNAME <br />CONTAACTOR ADDRESS <br />Cu�ClZ�2EZ—iU �'�9� 1�7��7%/ � � L` <br />PROPOSE� USE OF BUILDING <br />CONTRACT PRICE OF WOR <br />��C✓/ � L�19/�/NC UG—ZcJ L <br />Building (�'� echanical <br />PERMIT � Combinalion B Plumbing <br />TYPE Demolition Sign <br />Sprinkler <br />PERMIT k <br />PHONE <br />ZIP CONTR. LICENSE p <br />• ��ZO/ L�aZ65.Sc)ZZ�T <br />Additian I HEATSOURCE <br />WORK teration Electric <br />TYPE New . as <br />RepaiNtdainl. Other <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />WORKDESCRIPTION �����'` �4� iSC � �UR�c, S�Sj,C�,.S <br />NO. � TYPE OF FIXTUFiE OR ITEM <br />WaTEF CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINA� <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. � TYPE OF FIXTURE OR ITEM <br />�Z_ Wl: —A/hiANUIIN(3 UNITS <br />_ FORCED AIR SY57EM5 <br />HEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />_ RANGEHOOD <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 HEREBY CERITIFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE Sr�ME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF W WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL �E COMPIIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERhiIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTFUCTION OF THE PERFORM17ANCE OF CONSTRUCTION. THAT � AM AUTHORIZED BY THE <br />OWNEP `vF�iilS PROPE jFf�pERFORM THE N'ORK FOR WHICH APPLICATION IS hIADE AND I COMPLY WITH THE STATE <br />CONTR�ICyORS LAW 18c�7 R �lJD 296.200 WAC. <br />.�= ZlJ —03 <br />