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SITE ADURESS <br />LcGAL LOT N0. <br />DESC. <br />OWNER <br />�i�c �..�ay -�Sl 7 <br />-T <br />TENANTNAME <br />(�.,�, .���� <br />, - --- ---- <br />��RMI1" APPLICA�ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-88 :0 - FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />BLOCK � I TRACT <br />/���rn �'r,� <br />PHONE ZS3. 9y2 ��g <br />PROPOSED USE OF BUILQ!t:G <br />�� �k ���� <br />CON7'RACT PRICE OF WORK <br />� <br />���� �� �u <br />N �2 S 3�yy�5 5% N�3o-3 <br />� ��y�'� <br />PHONE <br />'�2s 3S�• �� <br />PHONE <br />�-�9- 3�€ <br />�Cde�l wE� Z���oo�k.��cE�Q�► <br />� Building � Mechanical <br />PERMIT Combination Piumbing <br />ivPe Demolition Sign <br />Sprinkler <br />fi Addllion <br />�_y Alterauon <br />�r�. New <br />'LJ Repair/Maint. <br />HEATSOURCE <br />�Electric <br />Gas <br />Ol�1P,f <br />�� I CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />WORK DESCRIPTION /J�� �� � �5,�� L! ��,L � � �p r� � <br />f I (1< 1 � <br />nw qc�. <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILE'n <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/BAR/MOP/ETC.) <br />OTHER <br />N0. I TYPE OF FIXTURE OR ITEM <br />� A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLr�CE <br />GASRANGE <br />GAS PIPING <br />= EXHAUST FAN <br />OTHER <br />��� <br />I HEREBY CERITI THAT I HAVE REAG AND EXAMINED THIS APPLICATION AND KNOW TFiE SAME TO BE TP.UE AND CORRECT. ALL <br />PROVISIONS OF ANO ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED FIEREIN OR <br />NOT. THE GRA TI OF A PERMIT DOES NGT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOC L REGULATING CONSTRUCTION OR THE PERFORMAtJCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THI ERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH l HE STATE <br />CONTRACTORS B27 RCW AND 290.200 WAC. <br />2—z-�`� <br />Cinnafivan w' /f:nntrarfnNAirthnnvarl4ranf Ilnlu <br />CIEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />