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317E ADDRE33 <br />LOT NO. <br />1� �RMIT APPLICAT�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 42rr257-8857 <br />PAftCEL TAX I.D. k PERMiT � <br />6Ee�cs++L2.� oo3�;Z oobc3$0) Cp�o�-n�� <br />BLOCK TRACT <br />3 OD6 QC�1F_,Z��I Nr��S DrJ z <br />L?i�Dr� )�2oss A,Z�a 63i6 �3E�z�s��.r�2� `1°203 <br />TENANTNAME CONTACiNAME PMONE <br />� SAML= — I JF�.Soi.l MALo�� �12S-3W`1-Ns��o <br />CONTRACTOR <br />F?'n� r5ia <br />PMONE <br />ADDRE88 <br />c=,.��=s Co�s�. (�`GoA 7Z��sr N�= <br />PROPOSED U6E OF BUILDINO <br />ExrSTs��. 5.1-�2 <br />MAR <br />Buildinp Mechenical <br />PERMR om n n Plumdnp <br />TYPE em on Sipn <br />Sprinkler <br />OONTRACT PRICE OF WORK $ 6 O D '�'� <br />— � <br />worocoesc�rnoN Fu�n�pArro.J 2EPar2 = <br />Sr�� fl�,arr:S q�o a�.. PosTs + <br />PL�MAT��C� - RE/'�ilc..r,—�[� A�� L�o�.J. <br />NO. � TYPE OF FIXTURE UR I7EM <br />_L WATER CLOSET <br />_� BATHTUB <br />_L LAVATORY (WASH BASIN) <br />SHOWER <br />,L KITCHEN SINK 8 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 />�P CONTR. LICENSE t <br />FSN.Ts LL,dpsq d c <br />�°u 2 � J <br />i nnanwo I ne�r sourtce <br />1 4ltaratlon � EMdrle <br />CT' OF EVERETT LOCAL bALEB TAX CODE IS i106 <br />�Cv��cx,�h �orTCp 12�M �cr:r t <br />Pi� n_ T.J C!t ol.� l w� TIL�R i"� O. <br />Sr1 s RA �.+L. <br />e,=.�: s�.• coPoe2� AN� N�_a l�. H1. Tri <br />�- MECHANICAL <br />NO. I TYI'E OF F�%TURE OR ITEM <br />A!C –A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATFRS <br />CLOTHES DRYER <br />RANGEHOOD <br />� WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE REAO ANC EXAMINED TH�S APPLICAiION AND KNOW THt SAME TO BE TRUE AND CORRECT. ALL <br />PROVI&IONS OF UWS ANO ORIDINACES GOVERNING THIS TVPE OF WORKVNLL BE COMPLIED NATH NMETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THC- PROVISION OF ANY OTHER <br />STATE OR IOCAL lAW REGULATING CON&TAUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORQED BY THE <br />01NNER OF THIS PROPER7Y TO PERFORM THE WORK FOR VNiICH APPLICATION IS MADE AND I COMPLY NATH THE STATE <br />CONTRACTORS LAW iB27 RCW AND 266.Z(1C WAC. <br />- 2 7- o <br />