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SITE AD?DRESS <br />C%'1( � �i <br />LEGALI LOT N0. <br />PtRMIT APPLICATIvN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />TRACT <br />PARCEL TAX I.D. A <br />PERMIT # <br />�n'�G %-OD�7 <br />%��;�,� ��� � E �y�,� �:�I �.�/�� �g�_ �6,�� �'�>?4s-yr�� <br />TENANT NAME � CONTAC7 FOR PERMIT PHONE <br />CONTRACTOR <br />�.���� {��.��.e< �P-v�_..1[� <br />PMONE <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />I �i'K�"H ��o�-. <br />ADDRESS <br />7� �� � 5,���4ti r� �� �,�5�� <br />Building D Mechanical <br />PERMIT � Combination J� Plumbing WORI <br />TYPE Demolition �U Sign TYPE <br />Sprinkler <br />`/�")1 �is i t�7 <br />ZIP LONTR. LICENSE H <br />�du� s�To�t rIKo�SN, �_ <br />AddiOon HEAT SOURCE <br />Alteration Q Electric <br />New u Gas <br />RepairlMaint U Other <br />CITY OF EVERETT LOCAL SALES TA%CODE IS J1D5 <br />WORh� DESCRIPTION � 1 / • <br />K,C!'�i�Ct f-'�C,S1��C �/"l�x`�;hS i"t ��SSi,�r. � �r�,L� /Z�ti,� <br />� J ! <br />N0. � TYPE OF FIXTURE OR ITEtA <br />� WATER CLOSET (TOILET) <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 />OACKFLOW PREVENT[R <br />SINK (SERVICE/BARlMOP/ETC.) <br />OTHER <br />NO. I TYFE OF FI%TURE OR ITEM <br />A/C -- A/HANDLING UNITS <br />FORCED AIR SYSTE�v1S <br />H[A1'PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOV[ <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />��•— <br />I HEREBY CERITIFY THAT 1 HAVE READ AND EXAMIIJED THIS APPIIGATION AND KNOW TNF SAIdE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDiNACES GOVERNING THIS TYPE OF L'JORK N9LL �E COIdPLIED 1N�TH WHETHER SPECIFIED NEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STA7E OR IOCAL LAW REGULATING CONSTRUCTION OR THE PGRFORIdAIJCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERN TO PERFORM TNE INGRK FOR WHICH APPLICATION IS MADE AND I COMPLY'JJITH THE STATE <br />rnr.�rcerTnas i nw iA �7 RCW At.ln 296200 N'AC. <br />� <br />1 �d�%3 <br />� DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />