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SITE ADDRESS <br />.�zz�� —Na <br />LEGA LO7 NO. <br />DESC. LI �ZL <br />OWN R <br />�' �`Jt�L � <br />TENANT NA�+IE <br />CONTRACTOR �G I� <br />PHONE <br />PROPOSED 4S�OF BUILOING <br />l�-ti"^� I`-,-� � Y' i � <br />CONTRACT PRICE OF WORK <br />WORK UESCRIPTION <br />P��MIT APPLICATIG.J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />�� , <br />OLOCK TRACT <br />J <br />c.��,�I�. c� 52zz -� <br />, I CONTACT NAME <br />ADDRESS <br />Building D Mechanical <br />PERMIT B Combinalion u Plumbing <br />7YPE Demolition U Sign <br />Sprinkler <br />�'G�C� � iL� S l � h� �s1 S� <br />P�umsir <br />NO. I TYPE OF FIXTUFE OR ITEM <br />, � WATER CLOSET <br />J_ BATHTUB <br />, _L LAVATORY (WASH BASIN) <br />� SHOWER <br />' _L KITCHEN SINK & DISPOSAL <br />�DISHWASHER <br />LAUNDRYTRAY <br />C CLOTHES WASHER <br />C URINAL <br />�'' DRINKING FOUNTAIN <br />FLOOR DRAIN <br />� BACKFLOW PREVENTER <br />� SINK (SERVICEiBAWMOP/ETC.) <br />e <br />TYPE <br />PERMIT : <br />Co3 o i-o3S <br />� <br />- y1�?)L <br />PHONE <br />;!1P CONTR. LICENSE M <br />n Adtlition HEAT SOUflCE <br />p� Alleration Electric <br />�._;�iew � G.�s <br />eq RepairRAainL Other <br />CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HAN�LING 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 />--I('� <br />I) �� <br />I HERE9Y CERITIF'f THAT I HAVE READ AND EXAMINED THIS APPUCATION AN� KNOW THE SAME TO BE TRUE AND COFRECT. AL! <br />PROVISICNS OF LAWS APID ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PF_RMIT �OES NOT PRESUME TO GIVE AUTHORIIV TO VIOWTE OR CANCEL THE PROVISION OF ANY OTHEF <br />STATE OFi LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />QWNER OF THIS PROPERT'1 TO PERFORh1 THE WORK FOR VVHICH APPLICATION IS MADE AND I COh7PLY WITH THE STATE <br />YZ <br />I� <br />