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SITE ADDRESS d' � <br />� /�—'� rny-.�- <br />LEGA LOTNO. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />1-1�GIN3 <br />TRACT <br />PARCEL TAX I.D. # <br />�II �02 <br />PERMIT x <br />�ITFhR ll llUltSlvi(n i'/uT11021 �y J�U� l"ULQy C.UZ'2 11 ���J'S� S�� � <br />TENANTNAME I CONTACTNAME PHONE ' <br />CONTRACTOF <br />IL�PF1t HUIiS�N(� <br />PNONE <br />�175 -�—ol- Slo� I <br />PROPOSED USE OF BUILDING <br />S 4� '� <br />cUqIHAG� PHIGE OF WO.iK <br />ADDRESS <br />Au f ilo¢�T / <br />Building � ,, Mechanical <br />PERMI7 � Combination' Plumbing <br />TYPE Demolilion � Siqn <br />Sprinkler <br />WOF1K DESCRIPTION <br />Remo.1�Q �^� tious��59 Vev�`fc�+�y <br />1 <br />NO. I IyPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BA7HTU8 <br />LAVATORY (WASH EIASIN) <br />SHOWER <br />KITCHEN SINK 8 DISppSAL <br />DISfiWASHER <br />LAUNDFYTRAY <br />CLOTHFS WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKF�OW PAEVEN'i ER <br />SINK (SERVICEiBAR/M11pP/ETC.) <br />OThiER <br />ZIP CONTF. LICENSE A <br />Addition HEAT SOURCE <br />Alteration � Eiectric <br />Ne�v Gas <br />Repair/Pdaint. Other <br />.CITY OF EVEREl7 LOCAL SALES TA% COOE IS 3705 <br />NO. I TYpE OF FI%TURE OR ITEM <br />_ wl;—A/HAN��INGUNITS <br />_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />____ UNIT HEATEFS <br />� CLOTHES DRYER <br />_ RANGEHOOD <br />/ WATER HEATER <br />_ P�ETAL FIREPLACE/STOVE <br />_ FIREPLACE INSERT <br />_ GAS FIREPLACE <br />_ GAS RANCE <br />� GAS PIPING <br />j EXHAUST FAN <br />_ OTHER <br />I HEFEBY CERITiFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LnWS AND OqIDINACES GOVERNING THIS TYPE OF WORK W�LL BC COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMIT �OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISION OF ANY OTHER <br />S7ATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMAMCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO pERFORM1t THE WOflK FOFi JYHICH APPLIC?,TION IS tv1A�E AND I COMPLY WITH THE STATE <br />CONTRACTOFS lAW 18.27 FiCW AND 296.200 WAC. <br />al��/oa <br />