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� <br />� <br />SITE ADDRESS <br />LOT NO, <br />DESC <br />�'EF�MIl' APPLICA�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TA:i I.D. # <br />PERMIT d <br />rno3a, <br />B/GL IiUESFUREQ�r /,� 3s� � o,�T1a'�iBy �/09 4z> -8�3o-52z s <br />TENANT NAh1E I CONTACT NAM'c PHONE <br />_LiTT�� G-Y� <br />CONTRACTOFi <br />PHONE <br />s��T/NG CO. /NG ADDRESS s00 6�ST i'1fi/•U ST Z�P CONTR. LICENSE N <br />.�-io,v,ea�, w�7- 98Z72 GS HEACT i 47dD <br />�—/7— 03 <br />_iIOV-//`7- <br />PROPOSEO USE OF BUILUING <br />�� <br />CONTRACT PRICE OF WORK <br />PERMIT <br />TYPE <br />% 91�� <br />� <br />� <br />� <br />� <br />Building echanical <br />Combinalion Plumbing <br />Demolition Sign <br />Sprinkler <br />TYPE <br />� <br />� <br />� <br />� <br />Addilion <br />Alteralion <br />New <br />Repair/Mainl. <br />HEATSOURCE <br />�Electric <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3705 <br />WORK DESCRIPTION ���C�TL— /P.ND //(/ST�/'�� ��k/ ���FUfE�s <br />(if� Fis�rST//�� iCOD�Tv/� �,w��-S <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATERCLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEM SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES W03HER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PFEVENTER <br />SINK (SERVICE/BAR/MOP/ETCJ <br />NO. I n'PE OF FIXTURE OR ITEM <br />A/C - A/HAND�ING 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 FIREPLNCE <br />GAS RANGE <br />GAS PIPiNG <br />EXHAUST FAN <br />OTHER O uCi 4/d,E'.� <br />� Dir`.`�S�es <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED TIiIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOl.ATE OR CANCcL THE PROVISION OF ANV OTHER <br />STATE OR LOCAI LAW FEuULATING CONST(iUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION IS h1ADE AND I COh1PLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />� DaD3 1 L \ <br />/L <br />