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� cF�MIT APPLICAT��JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CE.DAR STREET, EVERETT, WA 98201 <br />425•257-8870 - FAX 425-257-8857 <br />SITE <br />DESC. <br />TENANTNAME <br />COHTRACT� �U�,,b n9 3 Rt C Piv�Ct'�' <br />° uzs S - �I � <br />PROPOSi.0 USE OF BUILDINO <br />PERMIT <br />TYPE <br />CONTRACT PFICE OF <br />WORK DE9CRIPTIO�N� � �O �e 1� <br />` Lp -r a�� <br />NO. I TYPE OF Fl%TURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />@ACKFLOW PREVENTER <br />SINK (SERVICFJBAR/MOPlHTC.) <br />OTHEF <br />PARCEL TAX I.D. N <br />TRACT <br />CONTACT NAME <br />ADpFEB�� �ZT <br />��M � r„ <br />�tlocdMrl�C w^` <br />�Building n Mechanlcal <br />Combinatlon r�5 Plumhing <br />Demollllon � Sign <br />Sprinkfer <br />� 07_ <br />PERMIT • <br />r�:�rt��.S �-f(/�7 <br />ZSi�' �- <br />PMONE <br />LP CONTR. IJCEN9E N <br />q8°�3 �sa�.ur�o94�� <br />RAddlllan I MEAT BOURCE <br />Allerelbn � Electrk <br />BNew Oaa <br />Repair/Meinl. Otl er <br />CITV OF EVERETT LOCAL 8ALE8 TAX COOE 19 �106 <br />NO. I TVPE OF F.IRUHE OR ITEM <br />A/C -A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />_ UNIT HEATERS <br />CLOTHES DRYER <br />RANOE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPUICE INSER7 <br />6AS FIREPLACE <br />OAS RANOE <br />_ OAS PIPINO <br />EXHAUST FAN <br />u OTHER <br />I HEREBY CERI7IFY THAT I HAVE READ AND EXA611NeD THIS APpUCATION AND KNOW TME SAME TO BE TRUF. AND WFRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES 60VERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THF GFANTING OF A PERMIT DOES NOT PRESUME TO OIVE AUTHORITV TO VIOLATE OH CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING LONST UCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE <br />OWNEFlOF THIS PROPERTY TO P�Fh�if�MORK fOR WHICH APP�ICATION IS MAqE AND I COMPLY WITH TNE STATE <br />� <br />