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LEG/: LOT NO. <br />DESC. <br />OWN R ` � <br />K -�e,�1 , <br />NANT NAR1E \'�+ <br />L��/V V <br />C TqACTOR <br />T� <br />PHONE i <br />F�C;RMIT APPLICATI: N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />� ADDRESS <br />� <br />� �C.e- G.d.e d i <br />% C.� li—�% �CY � <br />PROPOSED US�F BUIL�ING <br />�pst�, �vq h� <br />CONTRACT PRICE OF WORK <br />PARCEL TAX I.D. q <br />� <br />Building Mechanical <br />PEpMIT � Combinalion Plumbing WORI <br />TYPE Domolilion Sign 7YPE <br />Sprinkier �D S� <br />�� <br />PERMIT R <br />M o,�0 7-00 <br />�:�� <br />PHONE <br />s' f�s � -�-d- � <br />ZIP � CONTR. LICENSE N <br />AdAilion HEAT SOURCE <br />era�ion ectric <br />New Gas <br />Repair/Maint. Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />`����/iQ �f sh �' J <C. C�%�l <L(ilY U``� <br />/y el� %1 � ��//' e l /•ln-ol%S ��� � i�-�., „ <br />NO. � TYPE OF FIXTURE OR ITEM <br />W�\TER CLOSET <br />BATHTUB <br />LAVATORY (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 />BF,CKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPlETC.) <br />%' �r��.� %� � <br />D�%� ¢-����%a� <br />N0. � TYPE OF FIXTURE OR ITEM <br />A!G — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER /� <br />RANGc HOOD (.,�V � <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />O/T�HE��� �+ <br />y'_""_""` ��� U � <br />I HEf;EBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OFIDINACES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEflEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORiTY TO VIOLATE OR CAMCEI THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOfl WHICH APPLICATION IS MADE AND I,'OMPLY WITH THE STATE <br />CONTFiACTORS LAV�J-5�827�iCW AND 296.200 WACD ` <br />� <br />WI C�7•�o� <br />