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�� . <br />LOT NO. <br />OESC. <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETi PERMIT SERVICES <br />3200 CEDAR STREET, EVEAETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />S-iY�..v�-� <br />BLOCK <br />7SA <br />PARCEL TAX I.D. p <br />TRACT <br />CONTACTNAME <br />50hv� f�be� <br />CONTRACTOR ADDRESS <br />CYbwn, F�r�. �"0�2�.�-�or►,��c, <br />PHONE ���'/Jp�'��/_n <br />-}D �p-� <br />PROPOSE� USE OF BUIL�ING <br />Comm�rc�a� <br />CONTRACT PRICE OF WORK <br />PHONE <br />y 25• �-i�'S1 • ? �a(o9 <br />��J�[ w• �►���Y� ZIP CONTR. IICENSE N <br />Bl� CROWNF�yyt,� <br />B��.II, wA q8o►2 exp• y/8/o3 <br />Buiiding Mechanical <br />PERMIT g Combination R Plumbing <br />TYPE Demolition ❑ Sign <br />B Sprinkler <br />WORK DESCRIPTION <br />P�d dl. v��h�e- Spr�v�kle.r l�e�d S <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUO <br />IAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />RAddilion I HEATSOURCE <br />Alleralion � Eler.tric <br />BNew Ga:� <br />Repair/MainL Olher <br />CITY OF EVERETT LOCAL SALES TA1( COOE IS 3105 <br />NO. � TYPE OF FIXTURE OH fTEM <br />A!C — A/HANDLING UNITS <br />FOFiCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CIOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIFiEPLACE/STOVE <br />FIFiEPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER, <br />i HEREBY CERITIFY'HAT I HAVE F;EAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OAIDINACES GOVEPNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN (�R <br />NOT. 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTFIER <br />STATE OR LOCAL I.AW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEFN TO PEFFORMJ HE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY IVITH THE STATE <br />CONT�A�.TORS LAW��8.27 RCW A�j`D 296.�G0 WAC. <br />7/(a �02 <br />