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�. <br />SITE ADDRESS <br />LOT N0. <br />'� �RMIT APPLICAT JN <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.D. # <br />�/�%����i�i ���ptG�7L. �23i�1'b^�,3,,,n.r\V� �Ai"�•�:Y�M, ZIP PHONE <br />�c'��'e.3 7 N�K�'� �' �N�� � <br />�3�'u_.� �1'� �/'� �-5''$3P 3'Zz- <br />TENANTNAME �� CONTACTNAME pHONE <br />��-�r'� G�l,,,� IJ�D �� s� � ��' - 23�- ; 9og -�� <br />CONTRACTOR <br />Me.t� �r��S� <br />PROPOSED USE OF BUIL <br />�4�� <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />AO�RESS <br />2�t53t S� 45�'� <br />Ih5A�1�} <br />Building Alechanical <br />PeRMIT Combinatior R Plurr�.,ing <br />TYPE Demolilion � Sign <br />Sprinkler <br />2IP CONTR. UCENSE H <br />�Addition HEAT SOURCE <br />Allaralion �Electric <br />New Gus <br />Repair/Maint. Olher <br />CITY OF EVERETT LOCP.L SALES TAX COOE IS 3105 <br />IiST'E�2aD�'L �A-�TITVh.�S, P�A�t�'N�S � SIIJ�., <br />'LHD��. W g--i-t- <br />NO. � TYPE OF FIXTURE 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 />BACKFLOW PREVENTER <br />SINK (SERVICE/BARRAOP/ETC.) <br />OTHER <br />NO. � T.'?E OF FI�URE OR ITEM <br />_ /vC; -A/HANDLING UNITS <br />_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />. _ UNIT HEATERS <br />CLOTHES DRYER <br />_ RANGEHOOD <br />_ WATER HEATER <br />_ METAL FIREPLACElSTOVE <br />FIREPLACE INSERT <br />_ GAS FIREPLACE <br />_ GAS RANGE <br />GAS PIPING <br />_ EXHAUSTFAN <br />_ OTHER <br />I HEFEBY CEAITIFY'HAT I HAVE READ AND EXA611NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORIDINACES GOVE(;NING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GR��A PE ES N SU� GIVE AUTHORITY TO VIOLITE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW EGU T C I i O HE PERFORh1ANCE OF CONSTRUCTION. THAT I Ah7 AU7HOR�ZED BY THE <br />OWNER OF - EF K R WHICH APPLICATION IS h1ADE AND I COMP�Y WITH THE STATE <br />CONTRACiORS 10. � <br />t� <br />