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SITE ADORESS <br />`f22� - (-i <br />IEGA LOT NO. <br />DESC. <br />C=V� � ��`i Vl/I <br />TENANT NAh1E <br />�� ��.,s-r <br />/ J'-i <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 90201 <br />425-257-8810 - FAX 425-257-8857 <br />/N. �� � <br />BLOCK <br />CONTAACTOR <br />`,:�7i1�f, �b�tiJ�� �trv:i� <br />PHONE +"7.� ) '�"�S-% j <br />� <br />��� <br />� <br />PARCEL TAX I.D. tt <br />TRACT <br />ADDflESS <br />%�:SS U L . <br />CONTACTNAME <br />1\l.G'L 1 Il,f5��L1 <br />AODRESS <br />� D r� C.:� �' l S� <br />q <br />PHONE <br />�-� Zj � SC8 - r`�� 31 b <br />ZIP CJNTR. LICENSE q <br />!_�'Jm����5 `� aoz� ��� n 5����+� r+ <br />C/�r93� <br />PROPOSED USF: OF BUILDING Bwlding (� .'V1eCheniCel Atltlltion I HEAT SOURCE <br />PERMIT RI—( Combination ��t Plumbing WORK Al�emtion R Electnc <br />TYPE u Demolilion L/ Sign TYPE Ne�v �j Gas <br />U Sprinkler Repair/Maint. L� Olher <br />CONTRACT PRICE OF WORK 'b I, (-�� ��c���' C�TY OF EVERETT LOCAL SALES TA% COOE IS 3105 <br />WORK DESCRIPTION <br />NO. I NPE OF FI%TURE OR ITEM <br />I WATER CLOSET <br />BATHTUB <br />i LAVATOflY (WASH BASIN) <br />SHOWER <br />_?i._ KITCHi_N SINK 8 DISPOSAL <br />DISITYlASHER <br />LAUNDRY TFAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLO�N PREVENTER <br />, SINK (SERVICE/BAR/MOP/ETC.) <br />( � 1' < <br />I.:.'li � i t �`:. 1�� ' -..i `t- ( . . <br />NtGtiA <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — NHANDLING UNITS <br />FOFCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTrIES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE !NSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER /���` <br />r �i���;�:.�:� <br />I HEFEBV CERITIF'f THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LdWS AND ORIDINACES GOVERNWG THIS IYPE OF WORN VVILL BE C01dPLIED WITH WHETHER SPECIFIED HEREIN Ofl <br />f�CT THE GFANTING OF A PEF�dIT DOES NOT PRESU1dE TO GIVE AUTHORIIY TO VIOWTE Ofl CANCEL THE PFOVISION OF ANY OTHER <br />ST:.TE OR LOCAL LAW REOUI.ATING CONSTRUCTION OR THE PERFORM1fANCE OF CONSTRUCTION. THAT I AM AUTHORIZtD BY THE <br />C'.V�vEF OF TriS PROPERTY�'TO PERFORht THE WORK FOR WHICH APPLICATION IS MADE AND I CO�dPLY WITH THE STATE <br />CGNTRACTOFlS LAW 1827 FCN AND�296.200 WAC. � <br />. . � � � ���j �('� <br />