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SITE ADORESS <br />,.� 4 �3 <br />LEGA L07 N0. <br />�" °r� <br />TENANTNAME <br />P'.�RMIT APPLICATI��N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />l7/Ue� <br />BLOCK <br />lif/A5'a,�,= <br />CONTRACTOR 5�, �r <br />PNONE <br />PROPOSEU USE UF BUILDING <br />/c�s���.�— <br />CONTRACT PRICE OF WORK <br />PARCEL TA% I.D. # <br />TRACT <br />2s— ,.3 Z �0� s�= <br />ICONTACTNAME <br />AO�RESS <br />Building Mechanicat <br />PERMIT R Combinalion r'lumbing <br />TYPE D Demolilion Sign <br />�� Sprinkler <br />W1ORK OESCRIPTION <br />F�J� QJ'�t — C.9y i�Gc✓ l.r�i¢-KoY %'�'-`- <br />NO. I TYPE OF FI%TURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHEH <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />,$;t� v, . � <br />�PERMIT M <br />_I�p 205 -Op� <br />LP PHONE i/ 2 S-' <br />�.Ja'��Pzu� L��d—i�ay <br />PHONE <br />LP CONTR. LICENSE M <br />Addilion <br />WORK Altoration <br />TYPE New <br />Repair/Mainl. <br />HEATSOURCE <br />Electric <br />oas <br />OthB� <br />CITY OF EVERETT IOCAL SALES TA% CODE IS 3105 <br />NO. I TYPE OF FIXTURE OR REM <br />A/C-/UHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <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 />EXHAUSTFAN <br />OTHER <br />I HEREBY CEiiITIFY THAT I HAVE REA� AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PPOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WC1RK WILL BE COMPLI'cD WITN WHEfHER SPECIFIED HEREIN OFi <br />N0T THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STA7E OR LOCAL LAW REGUIl�TING CONSTRUCTION OR THE PERFOiiMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPEFN TO PEAFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />C6NTRACT,ORS LAW 18.27 RCW ANO 296200 WAC. <br />"z 2�OZ <br />