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SITE ADDRESS <br />F}I I f �omaA+z.D <br />LEGA LOT NO. <br />r � <br />P�r�ll'�IT APPLIC'ATIC��� <br />CITY OF EVERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PAFCEL TAX I.D. N <br />C�os��t9oab o03 oa <br />BLOCK TRACT <br />G, P��-c �F F-�a���+��,st 0��, <br />�-I��c.� 3�os, Cr�NsT, 3`1aa t�l�'p,�E.Nc Evere�-t- <br />TENANT NAME I COtJTACT FOR PEfiMIT <br />i �-t HQa�k � <br />CONTRACTOR AD�RESS Z <br />�b N��,yC 1-3cz.os,. CptiST <br />LS- 3r1�1--7 3fo C <br />PflOPOSED USE OF BUILDING <br />�v�P�CX <br />�v`1aa `d�f ��"�A�c.NE C-v�t�rr <br />Building Mechanical <br />PEaMIT � Combination � Plumbing <br />7vPE Demolifion Sign <br />Sprinkler <br />CONTRACT PFICE OF WORK � G( O <br />ll <br />WORK DESCRIPTION <br />lPc�9oi-o�i <br />p <br />`1�dc� �{2,S 3 il-7 <br />PHONE <br />as-a�o-a�a9 <br />CONTR. LICENSE q <br />{-jAACk b'=U � ZDZ <br />`182oS <br />Addition HEAT SOURCE <br />WORK Alteration � Electric <br />TYPE New Gas <br />Repair/Maint. Other <br />CITY OF EVEI?ETT LOCAL SALES TAX CODE IS 3105 <br />N Ew o���cx 2-5s,2�e - <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHCR <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLGW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER _ <br />NO. � TYPE OF FIXTURE OR ITEAh <br />A/C — A/HANDLING UNITS <br />FORCED AIF SYuTEtv1S <br />HEAT PUMP <br />UNIT FIEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIR�PLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />I HEFEBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L4WS AND ORIDINACES GOVERNING THIS iYPE OF WORK WILL BE COMPLIED WITH WHEfHEF SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DO�S NOT PRESUM1IE TO GIVE AUTHORITY TO VIOLArc .^.;; CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL f.AW REGULITING CONSTRUCTION OR TH= PERFORh7ANCE OF CO'.sTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPERTY TO PEFi'ORM THE WORK FOR WHICH APPLICATION IS �.v1ADE AND I COMPLY WITH THC- STATE <br />CONTRACTOf�9y.AW 78.2;�CW AND 2dQ2p0 WAC. <br />��RIT A� CREDIT CARDS ARE NOT ACCEPTED <br />��1 <br />