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� <br />P�RMIT APPLICATION <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 />S' ) �Sr <br />LEGA L07N0. BLOCK TRACT <br />DESC. <br />�n�v�� <br />TENANT NAME <br />CONTRACTOR <br />/2pQ/NSCJM <br />u1i+,�,Bas <br />pllvrr�,ai��6 <br />PHONE <br />.(3<oaJYoS- i�F <br />PROPOSED USE OF BUILDING <br />PARCEL TAX I.D. M <br />CONTACT NAME <br />ADORESS <br />/.�.G , 193�0 /Z�/K At-C n�' <br />S r� I PERMIT <br />TYPE <br />CONTRACT PRICE OF WORN <br />WORK DESCRIPTION <br />/Mi � �4-�.t- G ir2� <br />NO, � TYPE OF FIXTURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDFYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />�Buildinr Mechanical <br />Combin�tion Plumbing <br />Demolit m Sign <br />Sprinkler <br />F'ERMIT M <br />PHONE <br />D CONTR. UCENSE M <br />9d�ir3 Ro���,n*-� <br />�Addition <br />Alteralion <br />New <br />Repair/Maint. <br />HEAT S6URCE <br />Electric <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />So,e..�.�,��c�s <br />NO. <br />i�v �� 5 � <br />MECHANICAL <br />TYPE OF Fl%TURE OR ITEM <br />AIC - A/HANDLING UNITS <br />FORCED Alli SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />�IREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />, fP�Iit//i[�o2 <br />I HEREBV CEF;ITIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT. ALL <br />PROVISIONS OF UWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOHMANCE OF CONS7RUCTION. THAT I AM AUTFiORIZED BY THE <br />OWNEFi OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTFACTORS LAW 182 � AC�I.AjJD 296.20(�NAC. � <br />Ko�l-oa3 <br />�L <br />