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/ - <br />PC,RMIT APPLICATI(�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 3 (P � ` �O�PH� iPVP <br />"��_d. 9,S .20 � <br />N�• � BLOCK TRACT <br />Haw.� p�. <br />TENANTNAME <br />CQNTRACTOR <br />SMYjJj COn1S77LU[�7pn� <br />PHONE <br />PROPOSED USE OF BUILDING <br />s�.vh1F ��-, <y <br />l2�'/t'%En/CE <br />CONTRACT PHICE OF WOqK <br />WORK DESCRIPTION <br />�F;�L.�cP NE../ <br />PLUMBING <br />NO. I TYPE OF FlXTURE OR REM <br />w,v I tti c;LOSET <br />_ BATHTUB <br />_ LAVATORY (WqSH BASIN) <br />SHOWER <br />_ KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />_ LAUNDRY TRAY <br />_ CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR D��AIN <br />_ BACKFLOW PREVENTER <br />_ SIfJK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PARCEL TAX I.D. A <br />F G � L �-o�,a� .a,.f Fv� <br />ICONTACTNAME <br />ADDRESS <br />Id J2%'2/ fT rJ/1..f.E. <br />E�c_��� u,�, g&sog <br />� Buildfng Mechanical <br />aERMl7 Combinalion Plum6ing <br />TYPE Demolition Sign <br />Sprinkler <br />� <br />PERMIT M <br />1'Y)D2 [h5 -UZ.S <br />T� J _ <br />PHONE <br />ZIP CONTp. UCENSE N <br />c- /�.�MI <br />Additian <br />WORK Alteration <br />TYPE New <br />RepaiqMeint. <br />HEATSOURCE <br />D Electric <br />U Oas <br />U Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />_.__._ .. .__.f.. ._ <br />TYPE OF FlXTURE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYER <br />RANGE HOOD <br />WATER MEATER - -• • - , -. ;.: - <br />METAL FJkIEPL•ACF1SfOVE� � <br />FIREPLACE INSERT . - -.- - — --- -,- <br />, <br />GAS FIRFPL4CE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO 8E TRUE AND CORRtCT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OH <br />NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TG VIOLATE OR CANCEL THE PFOVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATiNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO P RFOqM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC�LAVy 1�7 RCNfj�JD/F�5.200 WAC. <br />