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SITE ADDaESS <br />�ZS"o 0 <br />LEGALI LOT NO. <br />.. <br />P RMIT APPLICATIC��� <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. # <br />C�/ 003 bUU00 <br />BLOCK TRACT <br />PERMIT <br />7 C� 4 <br />/T G F /NVtS7 !r� .,FS �-G g c!C 2%JS' ��o-Ff. i+.� <br />TENANTNAME I CONTACTNAME PHONE <br />Di4 Uo6\s �loori✓, STG✓� (7Lo�-6 � �i�S'- %7�^�Ff3 $' <br />J <br />C/Y�/ �j/CUAJ CV <br />/ <br />PHONE <br />��s = 776 - 8 g 3s� <br />PROPOSED USE OF BUILDING <br />ADDRESS <br />75� o o N9 �.s <,. irJ <br />�'c.Vu � ��� �.1� 58 zo 3 <br />Building Mechanical <br />PERMIT B Combination Piumbing <br />TYPE D Demolilion 'gn <br />U Sprinkler (u ot heads) <br />CONTRACI' I�RICE OF WORK � 7 �� o U� <br />WORK DESCRIPTION . <br />�Nslr « C� � <br />Lc �crg o-v r.{cL t.c�y <br />� <br />NO. I TYPE OF PIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK $ DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URIN4L <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />ZIP CONTR. LICENSE # <br />,Be/rl.�+co77c � <br />n Additlon <br />WORK I--S qlteration <br />7YPE �t��-(•'�:'BW <br />Ll RepaidMeinl. <br />HEATSOURCE <br />�Electdc <br />Gas <br />Olhar <br />•�CITY OF EVERETT LOCAL;.!.i.ES TAX CODE IS 3105 <br />M��✓LG � C�J SCT 6C �}N G�r}N.tiCL <br />NO. I TYPF OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSI'EMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOi HES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGF <br />GAS PIPING <br />EXHAUSI'FAN <br />I HEREBY CERITIFY THAT I HAVE qEAD AND EXAh11NED THIS APPLICATION AND KYOW THE SAME TO 6E TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV�SION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. l'HAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE ST.4TC <br />CONTRACTORS LAW 78.27�W ANI7�96720D-VdtCL� <br />t/� <br />