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SITE AUDRESS <br />�� ��' �i�'7"�' <br />LEGA LOT N0. <br />�-ERMIT APPLICATIJN <br />eITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />TENANT NAME - <br />� <br />C�J RACTOR . <br />u9Q-�' S��,v�l {�%r.b iN� <br />PHO E <br />�hn-'7�,ti- ��s-9 <br />PROPOSE� USE OF BUILDING <br />��T�- BL�f�Le� <br />���o2�r�.ey <br />CONTpqCT PRICE OF WORK : <br />WORK pESCRIPTION <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATEH CLOSET (TOILEf) <br />BATHTUB <br />LAVAT��RY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK $ DISPOSAL <br />GISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER n <br />1 � <br />� . <br />PARCEL TAX i.D. A <br />TRACT <br />CONTACTNAME <br />PERMIT a <br />Xo3�a-oo <br />PHONE <br />ADDRESS • ZIP CONTR. i.ICENSE Y <br />y.x`i�/l�r.w�• Rd S� 9�36l0 �,9c.Tspo33ryT <br />Building Mechanical Additio� HE0.TSOURCE <br />PERMIT Combination Plumbing WpqK� AHeration �1 Electric <br />TYPE Demolition Sign 7YPE New i �,.,1 Gas <br />Sprinkler ( of heads) > F]epaidMaint. LJ Other <br />�� � 'CITY OF EVEREfT LOCAL SALES TAX CODE IS 310.5 <br />N0. � TYpE OF FlXTURE OR REM <br />_ /vl. —/VYIANULW(a UNITS <br />_ FONCED AIR SYSI"EMS <br />_ HEA�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 />_ OTHEF <br />I HEREBY CERI7IFY THAT I HAVE READ AND EXAMINED TH�S APPLICATIO!J AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS T'?E Or W4RK WILL BE COMPLIED WITH WhETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO �:IVF nUTHORITY TO VIOLATE Ofl CANCEL 1'HE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TF9' ?EHF��IiqNANCE OF CONSTRUC iION. THA'f I AM AUTHORIZED BY TNE <br />OWNER OF THIS PROFERTY TO PERFORM THE WORK FOF I ihICF� APP�_ICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTAACTORS lAW i 8.4�CW AND 296200 WAC. <br />������,.c;�, .�� ��/03 <br />