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SITE ADDFtESS <br />LOT NO. <br />/ y�/� L�i� <br />� ._/L <br />TENANTNAME <br />PE�MIT APPLI�,�TIOn! <br />CITY OF FVER�TT PERMIT 5ERVICES <br />3200 CEDAR STREET, EVEr�ETT, WA 38201 <br />a?5-257-L310 — FA)C 425-257-8857 <br />BLOCK <br />CONTRACI�OR ✓ <br />K// f�c�t��'- /�==�uc--t�� <br />PHON <br />?1-y �7- �— <br />PROPOSEU USE OF BUILDING I <br />/1'l��i%�i � C'��i?c�'� <br />� CONTRACT PRICE UF WORK <br />� <br />PAR�EL TAX I.D. <br />TRACT <br />FOR <br />ADDR <br />/���; <br />iw,�/ n��►y <br />���iii Building D Mechanical <br />PERMIT � Combination U Plumbing <br />TYPE Demolition U Sign <br />SprinYlar <br />t�G <br />TYPE <br />PERMIT ti <br />PHONE <br />Z/S� <br />ZIP CONTR. LICENSE # <br />K�i�i �12�� <br />Audition HEAT SOURCE <br />Alteration Eiec:ric <br />New Gas <br />Repair/Alainl Other <br />CIT:' OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />WORK DESCR:PTION � <br />"lGI'I�i,�f" l�a?P�Yer1YYl�5 ��% ��c���mo��i� /%�� '��1�'/��'!�' <br />�;�-� �i� ���«h�� ���l�l��x� <br />NO. <br />�►� <br />TY�E OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATk�TUB <br />LAV: iTORY (WASH BASIN) <br />SHQWER <br />KITC'.HEN SINK 8 DISPOSAL <br />Dls:.i�VASHER <br />Ll.�.INDR;' TRAY <br />CLQ-HES WASHER <br />URIKA.L <br />Df�,�NKWG �OUNTAIN <br />FLOOR DRAIN <br />BAC'riFl_CW PREVENTEF. <br />SINK (:'cRVICG/BAR/MOF/ETC.) <br />OTNEF _____ <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEPAS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER N[ATER <br />METAL FIREPLP,CE/STOVE <br />FIREPLAC� INSERT <br />GP,S FIREPLACE <br />GAS nANGE <br />GAS PIPING <br />EXHAUSI'FAN <br />OTI�ER <br />I HEP.ENY CERITIFY THAT I HAVE F:EAD AND EXAR"JP:ED TMIS APPLICATION AND KNOW THE SAA�E YO BE TRUE AND CGRRECT. ALL <br />PROVISIGics JF LAVJS AND OBICINACES GOVERNIhG THIS TYPE OF WORfC WILI BE COMPLIED W!TF� WHETHER SPECIFIED 11EREIN OR <br />NOT. THE GRANTING UF A PERMIT DOES �'OT PRcSUM1tE-: TO GIVE AUTHOftiTY TO VIOLATE OR C?NCEL THE PROVISION OF ANY OTHER <br />STNTE OR W CN ,_FN7 REGULATIN6 CONSTRUCTip� OR THE P�RFORMANCE OF CONSTRUCTIUK 1'HAT I AM AUTHORIZED B'I THE <br />G�VNER2�`1F Tr�IS RC�ERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAGE AND I CONPLY W ITH THE STP.TE <br />CJNT6tA�RPrL7:N i 32Z�REiAWND 296.207 WAC. <br />! �F,i�(leu':� Of OWr1ef/CC:1l13Ct0f/FuthGfIZ80 HJ@f1[ uete �/ <br />li DEBiT 8 CREDIT CARUS ARE NOT ACCEPTED L <br />