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��ERMIT APPLICAI �ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-SII57 <br />SITE ADDRESS <br />�S�� � a� tir <br />L_GAL LOT NO. <br />;�,1 I� I J <br />TENANT AME <br />CONTRACTOR ' <br />�.'.,� 4 ! /� <br />PHONE <br />PROPOSED USE OF BUILDING <br />L ✓��tl! - `.' � �� <br />CONTRACT PRICE OF WORK <br />PARCEL TAX I.D. tt <br />JJ r <br />BLOCK TRACT <br />���'� I L�G,j (,!' <br />CONTACT FOR PERMIT <br />/InG1�/ G -nR'� l <br />�/' I�P,�6 <br />Building PAechanical <br />PERhiIT � Combination R Plumbinc� <br />TYPE DCm01iti0n � Sign <br />Sprinkler <br />WORK DES(:RIPTION f� I <br />:..r�� IVC.J /��^b5 <br />C�il��6� ���i+i/� i✓�✓��� <br />NO. I TYPE OF PIXTURE UR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LJ�VATORY (WASH BASIN) <br />SHOW ER <br />KITCFiEN SINK 8 DISPOSAL <br />DISHINASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAiN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />OTHER <br />PERMIT � <br />N� 03 �a-da <br />%'� �Sb-,7f •E / <br />PHONE <br />%�f-�S�s v�c' <br />ZIP CONTR. LICENSE il <br />Addition <br />WORK Alteration <br />TYPE New <br />RepaidMaint. <br />HEATSQURCE <br />�Electric <br />Gas <br />Other <br />CITY OF EVERETT LOC:AL SALES TA7( COOE IS 3705 <br />!� �.i/l y /df��/� � �(�✓ ��'� �OJ�(/�( ��/' SvCi�rf <br />J � /� <br />/�-�����, � /s�� N-�� Cus G�/ /�� �/%�� � <br />MECHANICAL <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - WHANGLING UNITS <br />� FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />/� CLOTHES DRYER <br />RANGEHOOD <br />/_� WATERHEATER <br />METAL FIREPLACElSTOVE <br />FIREPLACF INSERT <br />GAS FIRE�LACE <br />GAS RANGE <br />�� GAS PIPING <br />EXHAUST FAtJ <br />OTHER <br />I HERE�Y CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME 70 BE TRUE AN� CORRECT. ALL <br />P.RO':ISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK �A'ILL BE COMPLIED WITN WHETHER SPECIFIcD HEfiEIN OR <br />tJOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GNE AUTHORIN TO VIOLATE OR CANCEL THE PROVISIO'J OF ANY OTHER <br />' SThTE OR LOCAL LAb�REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />� 01h'N6Fjt OF THIS PRO ERTY TO,f�E RM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CO fRACTO LA 18.27 R A 296200 WAC. <br />� ��" <br />� . : � �� _ ,�/ i :,- � � 7 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED ���0 �� �' <br />� <br />