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� <br />� <br />SITE ADDRESS <br />LOT NO. <br />Cvl(re►t <br />F'��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 />BLOCK I TRACT <br />PARCEL TAX I.D. k <br />��' <br />Ito� <br />M <br />t}1 � <br />TENANTNAME � CONTACTNAME PHONE <br />tt�02 f�oN�/t'S I�o.✓ 7J2O�2JR-S Z��'S7l -Z3'7� <br />CONTRACTOR G� S�/ST��S �N�' ADDRESS LP CONTR. UCENSE M <br />PHaNE <br />7Zo2 N.E rzs+'^ sV-a�� (ngs�szjFv�(? <br />1QNu.wny.,i.�� 9�25�, U-7�s-�l6� - c�:s� Fra-t. �12S-�1Az- nS'4� <br />PROPOSED USE OF BUILDING <br />��� <br />Building Mechanicai <br />PERMIT B Combination � Plumbing <br />TYPE D Demolilion Sign <br />U Sprinkler <br />CONTRACT PRICE OF WORK / �-� <br />lfl <br />Addition HEATSOURCE <br />WORK � Alteralion � Electric <br />TYPE New Gas <br />RepaidMaint. Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORKDESCRIPTION �S�g f}ISo <br />/�lSMII an/E NE� �A� t3„x T�c�2�e.. �X�st�K� �� <br />� Nw Boa <br />NO. I TYFE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d 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 />OTHER <br />TYPE OF FlXTURE OR ITEM <br />Ol�f � /J ttr� T <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEA?ERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN, <br />OTHER U�-r-wo <br />/YJCtJ �2C� U22, f}NL� <br />�J c5 �i2L <br />I HEREBY CERITIFY THAT � HAVE RF�1D AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE T9UE AND CORRECT. ALL <br />I PROVISIONS OF LAWS AND ORIDINACFS GOVERNING THIS TYPE OF WORK WILL BE COMP! IED WITH WHETHEA SPECIPIED HEREiN OR <br />�� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY QTHER <br />STATE OR LOCAL IAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO PERFURAI THE WOflK FOR WHICH APPLICATION IS h1ADE AND I COMPLY'NITH THE STATE <br />BONTfi,QCTORS LAVj✓fl8/�l RCW AND 296.200 WAC. , . <br />