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%/ � J.S�'o <br />:GA LOT NO. <br />� iuieo <br />TENANT <br />CONTRACTOR <br />�5���� <br />PHONE <br />�C � 34�7 - G <br />PROPOSED USE OF BUILDING <br />6 �-�� <br />�ERMIT APPLICATTON <br />CITY OF E`✓ERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-.i810 — FAX 425-257-8857 <br />BLOCK TRACT <br />ADDRES: <br />�c�in*T LLL <br />PARCEL TAX I.D. A� <br />`�y � Qcc-A.J ,QJe <br />CK�7:1 /_LN � t�l:� ��:I l, I I i <br />ADDRESS <br />Building Mechanical <br />PERMIT R Combinalion PI binq <br />TYPE g Demolition ign <br />Sprinkler <br />CONTRACT PRICE OF WORK� � S �a � <br />WORK DESCRIPTION <br />�o,����,a-- <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHO�YER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOP, DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR�P,iOP/ETC.) <br />OTHER <br />PERM p <br />So�o �1-003 <br />!IP PNONE y� Jy7 67 <br />cvi _ s �' a e� <br />PHONE <br />21P CONTR. LICENSE K <br />AddiOon I HEATSOURCE <br />WORK R glteration j7 Electric <br />TYPE pfNew D Gas <br />d Repair/Maint. � Other <br />CiTY OF EVERETT LOCAL SALES TA7f CODE IS 3105 <br />NO.. I TYPE OF FIXTURE OR ITEM <br />A/C — AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <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 THAT I HAVE READ/r.Nb EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LqWS AND ORIDINAGES GOVERNING THIS TYPE OP WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GR4NT,�NG OF A PERMI �bGES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOC � LAW REGU NG �ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER pF T I ROPERTY � E,RFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />COMTwycr �w ie.z� �;tao zsszoo wnc. <br />�/6 -Os <br />