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SITE ADDRESS <br />LOT N0. <br />DESC. <br />F� :RMIT APPLICATI�'�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAA STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK I TRACT <br />TENANTNAME." <br />_P�'nnc -�r�c' c li n �� <br />CONTFAC70R K��E,Y co�� <br />PHONE <br />PROPOSE� USE OF BUILDING <br />PEHMIT <br />M��a4L GLI NIG �PE <br />CONTRACT PRICE OF <br />TAX I.D. N <br />NAME <br />PHONE <br />��i • a <br />k <br />ADDRESS P�, '�jK }Yj[� 21P CONTH. UCENSE N <br />�n►aoM��+, wa Ki7�_cAz.7ZRF <br />9Bz9/ <br />Building Mechanical f� Adtlilion HEATSOURCE <br />Combinetion B Plumbing WORK �X�X Alteratlon Electric <br />Demolition �j Sign 1YPE '�.] New � Des <br />Sprinkler U RepairiMainc Oiher <br />CITV OF EVERETT LOCAL SALE9 TAX CODE IS 3105 <br />WORK OESCR�PTiON ���D� � ���� � 8 / Q��ANGY, �R�MO'�EL <br />SPAC.E. LS 3, 35� sr- <br />NO. I TYPE OF FIXTURE OF REM <br />_ WATEFCLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DR�NKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAFi/MOP/ETC.) <br />OTHER <br />NO. � TYPE Of FI%TURE OR IT: M <br />A/G — A/HANOLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATEFS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />6nS FIFEPLACE <br />GAS RANGE <br />GAS PIPINO <br />EXHAUSTFAN <br />OTHER <br />I MEREBV CERITIFV iHAT I HAVE READ AND EhAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFiUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WOFK W�LL BE COMPLIED WITH WMETHER SPEGFIED HFREIN OR <br />NOT THE GFANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF AIJV OTHEF <br />STATE OR LOC�L LAW R[GULATING CONSTRUCTION OR THE PERFORMANCE OF CO�STRUCTION. THAT I AM AUTHOR12ED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STA?E <br />CONTRAC,iQ(iS LAW 18.27 RCW AND 296200 WAC. <br />q/CIWC v� vrvnCnVu1111ECWl/HUIII\.11teq HI�BIII UBfB <br />• I/1.. <br />