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SITE ADDRESS <br />rs £. <br />roo�3 �E�rF_2 <br />DESC. <br />OWNER <br />TENANT NAME <br />�RMIT APPLICAT�IN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />PARCEL TAX I.D. # <br />���r s,�#4i i82gos-3-o4-o-ovq <br />BLOCK TRACT <br />ADDRESS <br />�_n... �.., � SUO 5. E � �wP-ETr �Mkcc �vAy' <br />i t-��.►.� g¢ota�Rs �s-r��au <br />CONTRACTOR <br />P/1'�TGoT -�iRG �L'�T�GT��� W C <br />P IONE <br />Z53 !/ZG-lZAU �¢Fcr Taf.H.� zB -34 <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF <br />CONTACT NAME <br />PERMIT # <br />PHONE <br />���5 3-856a <br />PHONE <br />ADDRESS CONTR. LICENSE # <br />z�-o� �"`,a�� � - <br />PATe� Fvona cF <br />Tkcrr�� wp� q�4 Z4- <br />Building � Mechanicai � Addition HEAT SOURCE <br />Combination Plumbing WORK Alteration Electnc <br />Demolition Sign TYPE New Gas <br />Sprinkler RepaidMaint. Other <br />CITY OF EVEREIT LOCAL SQLES TAX CODE IS 3105 <br />WORK �ESCRIPTION <br />�D I�1P�fc Sf'P-�PJIG�-F¢S � �`F-IS-�16.7G, L.,YST�c<� <br />( {�� 1-7EuJ SuSP�DED (��I,�N(n AI.�D T.l. �t-2kl,C�, <br />NO. � TYPE OF FlXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENT.ER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />20 ��a� <br />�i�g�o S, F ) <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND pCAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN Ofi <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 PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />!�"'NER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />( TRACTORS LAW 1827 RCV�IND 296200 WAC. <br />// <br />/ <br />p �. L15iec(c( <br />ze¢-34 <br />�� <br />