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,- <br />P��r�MIT APPLICATIG�V <br />.,� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS � <br />7�/ f!/!� (a2E.��/ 1U/� <br />LEGA LOTNO. BLOCK TRACT <br />DESC. <br />`'�.'�/"4//f/O �j /�/ Z Z /� <br />CONTFACTOR <br />PHONE ���/`/' 7ZOb <br />_ 7 <br />PROPOSE� USE OF BUILOING <br />coN7RaCT PRICE OF WOqK <br />rvVMK UESCAIPTION <br />NO. I TYpE OF flXTURE OR REM <br />_ WA I tH GLOSET <br />_ BATH7U8 <br />_ LAVATORY (WASH BASIM) <br />_ SHOWER <br />_ KITCHEN SINK 8 D�SPOSAL <br />_ DISHWASHER <br />_ LAUNDRY TRAY <br />_ CLOTHES WASHER <br />_ UFiINAL <br />_ DfiINKING FOUNTAIN <br />_ FLOOR DRAIN <br />BACKFLOW PREVENTER <br />_� SINK (SERVICFJBAR/MOP/E'fC.) <br />_ OTHER c 2 <br />�— <br />PERMIT <br />TYPE <br />PAACEL TAX I.D. # FERMI7 a <br />i�o5o�6�3o�.�oa XoZ�/ ��/i <br />��niqGfNAME <br />�,��i9'�T/ �O � j <br />PHONE <br />6�� gf!/- 7zoG <br />ADORESS ZIP CONTR. LICENSE N <br />l7i 8 ,�vw�aS .�� �i7 q,�� <br />PU/i/T �Ot�'_/1�is Ll//f � O Z`a/ <br />Building <br />Combination <br />Demolilion <br />Sprinkler <br />�Mechanical n(, A.tltlilion IiEAT SOURCE <br />Plumbing WORK�,{� Iteralion Electric <br />Sign TYPE �J New Gas <br />u RepairlMainl. �Ofher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. I TYpE OF FIXTURE OR ITEM <br />.+�� -'vnHrvuurvc; urvirs <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 FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OT R <br />I HEREBY CtRIiiFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE S�ME TO BE TqUE AND C'�ARECT. p��.1. <br />PROVISIONS OF LAWS AND ORIDINACES GOVEflNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER 5PECIFlED HERL.N OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISION �F ANY OTHER <br />STATE OFi LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY P M THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STA7E <br />CONTRACTOR�W �g,27� 96200�NAC. <br />