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PL.�MIT APPLICATIC _ J <br />CITY O�F EVERETT PERMIT SEPVICES <br />3[00 CEDAR STREET, EVERETT, WA 982U1 <br />425457-8P10 - FAX 425-257-9857 <br />`� DzaB�-dG3 <br />SITE ADDRESS I PARCEL TAX I.D. # I PERMIT u <br />3 3 i 5 �HpyT _ _ <br />LOT NO. �' BLOCK � TRACT <br />i � � �I 1 U� <br />TENANTNAME <br />CONTACTNAME <br />PHONE <br />CONTRACTOF��r (�'yYl �I ✓�� A�ORESS GDS `O�j -- IP CONTR.LICENSEN <br />/� j%%�k-'ySUl��G ��a70 <br />PHONE !� ,[— �S y �UrS� �%'t TPGt �b'� l3// JG <br />7ca�: <br />PROPOSED USE OF BUILDING �� G Building n Mechanical AUdilion I HEAT SOUFCE <br />� PERMIT �) Com6inalion �(} Plumbing WORK � allera�ion � Electric <br />TYPE D Demolilian � Sign TYPE New Gas <br />��S/ /,�,�ti'� � � Sprinkler RepairlMainL Olher <br />CONTRACT PRICE OF WORK �J,—�L U""� CITY OF EVEREIT LOCAL SALES TAX COOE IS 3105 <br />WORK DESCH�PTION �%G���L �t;�p � }� .�� /�(J�fi'TG/t CjKC S � s�r <[i2Yc�C C <br />/� � <br />.�GrJ�ri c � L�� !� C//'a � n �� *. <.s � %c��s�. /.9. ��� L,a... <br />�¢aJ <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN 51NK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAfi/MOP/ETC.) <br />OTHER <br />t <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIFlEPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIFY THAT I HAVE READ AND EYAMINED THIS APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF WWS AN� ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOAITY TO VIOLATE OR CANGEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULFTING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF T�J S PROPERTV TO PERFOFM THE WORN FOR 4NHICH APPLICATION I$ h1ADE AND I COAIPLY WITH THE STATE <br />CONTRACTOIiS L1W 1B.27RC'N AND 2962C0 WAC. <br />�f'— y'—o zr <br />