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SITEADORESS ,�j'�L' <br />LOT N0. <br />DESC. <br />PERMIT APPLICATION <br />CIl'Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />�lS <br />BLOCK <br />TRACT <br />PARCEL TAX I.D. N <br />LUF�C� �'�'pUSINin NLLTIfO(zl �% .S�V "�' ��C <br />TENANT NAME I CONTACT NAME <br />CONTRACTOR ADORESS <br />�-� �,-r NU„s, N� q.. rt�,oe„ y <br />PNONE <br />`-1�5-)'�I- Slol, I <br />PROPOSED USE OF BUILDING <br />SF�� <br />CONTRACT PRICE OF WOFiK <br />a --�� -�- <br />PERMIT q <br />rn u�zoa- �I� <br />ZIP PHONE <br />�.0 e�•e � `��-� -S��—Sl�l., � <br />PHONE <br />ZIP CONTR. LICENSE p <br />Building Tvlechanical <br />PERMIT R Combinalion' Plumbing <br />nPe D Demolition Sign <br />U Sprinkler <br />WORKOESCRIPTION �emc' n �� �OuS�+��9Ue���rr4 <br />�L+X � <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />�,4UNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFI.OW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />Adtlition <br />WOHK Alleration <br />TYPE New <br />Repair/�daint. <br />HEATSOURCE <br />Q Eleciric <br />B Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />NO. � TYPE OF FIXTURE OR ITEM <br />NC — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES �RYER <br />RANGEHOOD <br />/ WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />_ GAS RANGE <br />�. GAS PIPING <br />� EXHAUSTFAN <br />I HEREBV CERITIFY'HAT I HAVE RF�?D AND EXAMWED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COPRECT. ALL <br />PPOVISIONS OF LAWS ANO ORIDINACES GOVERNING THIS NPE OF WORK'NILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PROVISION OF ANY OTHEF <br />STATE OR LOCAL lAW REGUL�TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO PERFOFM THE WOflK FOR WHICH APPLICATION IS l.1ADE AND I COMPLY WITH THE STATE <br />CONTLiACTORS WW 1827 RCW AND 296.200 WAC. <br />al,�/oa <br />