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DESC. � <br />OWNER <br />\ <br />1 <br />TENAfVT PiAME <br />CON7'RACTOR <br /><y, L� <br />P� .�MIT APPLICATIC � <br />CITY OF E�; ERETT PERMIT SERVICES <br />3200 CcDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />PARCEL TAX I.D. N <br />� <br />I CONTACTNAME <br />I>Fl N <br />e��H- ,� Ui k%t�'_��'°°_`�� i/'l`///0 Z�PL <br />PHONE _J � ��'������ — / <br />,"j_ <br />PAOPOSED USE OF BUILDING <br />,�' i � <br />CONTRACT PRICE OF WORK <br />WOFK DESLRIPTION <br />f�'C ( � <br />P�unneir <br />NO. I NPE OF FIXTURE OR ITEM <br />_ WATER CLOSET <br />ATHTUB <br />L VATORY (WASH BASIN) <br />SH NER <br />_ KITC SINK 8 DISPOSAL <br />DISHWA EF <br />� LAUNDRY� Y <br />�_ CLOTHES WASf.lER <br />I = URINAL � <br />URINKING FOUNTAI <br />� _ FLOOR DRAIN <br />, BACI<FLOW PREV� <br />� _ SINK (SERVICE/9AF <br />uilding Mechanical <br />PERMiT Combinalion R Plumbiny <br />TYPE Demolilion � Sign <br />Spnnkler <br />)� <br />� <br />Addilion <br />Auerahon <br />New <br />Repair, htaiN. <br />� <br />-353 <br />�3_7 <br />LICENSE q <br />� �,1 �'N. <br />HEATSOUFCE <br />Elechic <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />c1X � 2.�s�9 z,�5 ; <br />�- /��NC�/l.l ,� � �-.O <br />t�•� � � <br />�r.� x�i <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC —!v'HANDLWG UNITS <br />_�'fQRCED AIR SYSTEMS <br />_ UNIT H ERS <br />CLOTHES YER <br />_ RANGEHOO <br />_ WATER HEATER <br />_ META� FIREPLACE <br />FIREPLACEINSERT <br />GAS FIPEPLACE <br />GAS RAN ;F <br />_ GAS PIPING <br />1 HERE�'/ CERITIFjt.IHAT I HAVE FEAD AND EXAAtINED THIS APP�ICATION ANO KNOW THF SAAIE TO BE TRUE AND COFFECT. ALL <br />PROVISIONS CF�LIWS AND ORI�INACES GOVEFNING THIS TYPE Of WORK WI:! �E rOhVr LIED WITH WHcTHEFi SPECIFIED HEP.EIN OR <br />NOT. �E-GPA TING OF A PEFMIT �OES NOT PRESUM1IE TO GIVE AUTHORIN TU VIOWI�E OR CANCEL THE PROVISION OF AMY OTHER <br />STATE OR LO � LAW REGUL4TING CONSTRUCTION OR THE PERFORAtANCE OF CONSTRUCTION. THAT I APd AUTHORIZED BY T. HE <br />OWNER OF THI PFOPERN TO PERFORM1I THE WORK FOR WHICH APPLICATION IS MADE ANO I COMPLY INITH THE STATE <br />CUNTFACrOFiS \W 18,27�RGW AND 296200 bVAC. . / <br />� I - i � .�� i i ���— `� — .��/ <br />Signat o� Owneu Nracto ulhorized Agent � ate �IL <br />