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� <br />SITE ADDRESS <br />�23 <br />LEGA LOT NO. <br />TENANTNAME <br />P�RMIT APPLICATION <br />CITY OF EVERETf PERMIT SERVlCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FP.X 425-257-8857 <br />N D�� <br />� BLOCK TRACT <br />PARCEL TAX I.D. k <br />NAME <br />PERMIT q <br />�O ZC/Z- DUo�, <br />PHONE <br />CONTRACTOR ADDRESS 21P CONTR.LICENSEq <br />D/f�� s 5�2 v:c� P��cn�Si�� 3�///Gf�� hr'� 14J� ��;��s s,�i�s-� <br />PHONE � V 2 fZe �, �`� ZC7 � <br />PROPOSED USE OF BWL�ING I [[[]]] Building D Mechanical D Additio� HEAT SOURCE I <br />PERMIT � Combination � plumbing IWORK 5¢ Alteration n Electric <br />TYPE Demolition Sign 1'!PE D New H Gas I <br />Sprinkler - U Repair/MaiN. �J Other <br />COYTRACT PRICE O� MNORK <br />WORK OESCRIPTION <br />CITY OF EVERETT LOCAL SALES TA�C COOE IS 3105 <br />�}1-TC� P � p �,��-- J �. G�u-v-� <br />� a �e W �s {ae rZ <br />NO. I TYPE OF FIXTURE Oq ITEM <br />1M1'ATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 CISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTA.!!v <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (�ERVICE/BAR/MOPlETC.) <br />OTHER_ <br />�, YJ '..i C�`�' "'C_ <br />NO. I TYPL OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNIT� <br />FORCEG AIR SYSTEMS <br />HEAT PUMP <br />UNIT fiEATERS <br />CLOTF;ES DRYER <br />RAMGEHOOD <br />WATER HEATER <br />METAL FIREPIACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLiiCE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY T4AT I HAVE REAO AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF fAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION CF ANY GTHER <br />S7ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OIVNER OF THIS PROPERN TO PERFORM THE WOF;C FOR WHICH APPIICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />eL - � ' � Z_ <br />