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---_ _ <br />. _ . ..____ . _._______ __ r <br />�ERMIT APPLICATIVN <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 />LEG / LOT H0. <br />DESC.� <br />OWNER <br />TENANTNAME <br />BLOCK <br />cunirrn��vn � <br />�.uw a�t�, �.,,� +-�L�.�;�� <br />PHONE . , _ _ <br />PROP'�SED U5E OF BUILDING <br />PRICE OF 4YORK <br />WORK CESrRiPTION <br />NO. I 'i^/PE OF FIXTURE OR ITEM <br />PARCEL TAX I.D. il <br />TRACT <br />CONTACT FOR PERMIT <br />G�l � l, ,� i <br />ADORESS <br />350 //r .3 �/ .�✓� �. <br />Building D Mechanical <br />PERMR B Combination [� Plumbing <br />TYPE D Demolition �] Sign <br />�� Sprinkler <br />�� N/AT�R CLOSET (TOILET) <br />IBAThTUB <br />�� IAVf.TORY (W.iSH BASIN) <br />SHOWER <br />�I KITCHEN SINK & DISPOSAL , j [o»�p <br />DISHl:'ASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />� FLOORJRAIN ��eor-�'q�(%S /-/`(,, <br />�BACKFLOW PR ENTER <br />_I SINY. �SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PERMIT # <br />Xc�30 <br />PHONE <br />���n�) 239- o3G� <br />ZIP CONTR. LICENSE K <br />�u/a�id,'l/c 5'�3z� <br />� ��PL �9�gP�s <br />Addition I HEATSOURCE <br />IWORK � Alteratlon (� Electric <br />TYPE New D Gas <br />Repair/Maint. U Olhor <br />CITY OF EVERETT LOCAL SALES TAX GODE IS 7105 <br />NO. I 1YFE OF FIXTURE OR ITEM <br />A/C — AlHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS fIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />i rEREBY C'cRITIFV THAT I HhVE REkD AND EXAfdINEO THIS APPLICATIOIJ AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />'�OYiSIONS OF LAWS AND ORIDiNACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED HEREIN OR <br />r,OT. THE GRANTING OF F PERMI7 DGES NOT PRESUh1E TO GIVE AUTHORITV TO VIOLATE OR CANCEL'iHE PROVISION Of ANY OTHER <br />'ATE OR LOCAL L'�W RECaULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />G.';NER OF THIS PROPERTY TO PERFORM THE VJORK FOR WHICH APPL'CATION IS MADE AND I COMPLY WITH THE STATE <br />�ONT3.�C70R9 kAY! 18.27 RCN AIJD 256.200 WAC. <br />DEBIT & CREDIT CARDC ^"'.E NOT ACCEPTED <br />