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SITE <br />LOT N0. <br />`�_'ERM�T APPLICA� _�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-88 i 0- FA; C•t25-257-8857 <br />i � s �• <br />TENANTNAM�E <br />��� I��/�fl'T-• <br />CONTRACTOFi A A �� <br />,�� <br />BLOCK I TRACT <br />PHONE �y� /'/0 •'I ��,�•� <br />PPRCE:L TAX I.D. N <br />i23si� "i�Coiz.�v +P �Y�oq <br />P�r��VtJ� � 9� <br />ICONTACTNAME ` <br />'S'� ADDIiESSn��rl.�S'E <br />�1 <br />�'�5���r)- 9 �0 2.q <br />'T"fj-' � <br />0-52' <br />PHONE <br />ZIP CONTR. LICENSE q <br />w, �7..�a � r /J ��b <br />NL <br />PROPOSED USE OF BUILDING I Building fi Mechan9ai I �Adtlitian I HEAT SOURCE <br />.c�/ty��� n,,._^—�l� PERMIT R Combination 4-� Plumbin WORK Alleralion (� Electric <br />c�� �• � TYPE D Demolilion LJ Sign TYPE New � Gas <br />�-- U Sprinkler Repair/Maint. O�her <br />CONTRACT PRICE OF WORK � ��D CITY OF EVERETi LOCAL SALES TAX CODE IS J105 <br />� <br />V/ORK DESCRIPTION <br />��� bA � RQPt111'Z., ►�iu....'�A�-)A- <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFIOW FfiEVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />N0. � TYPE OF FIXTURE OR ITEM <br />A/C -A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEP.T PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE I{VSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CEliITIFY'HAT I HAVE READ AND EXAAIINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORflECT. ALL <br />PROVISIONS OF LAWS AND OfiIDINACES GJVERNING THIS IYPE OF WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED HEREIN OR <br />NOT. THE GPANTING�A PERtvi����S N�SUM O GIVe AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STAT'e OR LOC.�L LAW GU U T HE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THI�RO TY Q K F R WHICH APPUCATION IS MADE AND I COh1PLY WITH THE STATE <br />.,: _•, <br />'la <br />