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SITE ADDRESS <br />�; . <br />LOT NO. <br />3 <br />TENANTNAME <br />�G 99�% <br />e <br />p�R�VIIT APPLIC/�TION <br />CITY OF EVERETT PEFiMIT SERVICCS <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� <br />PHONE3�o-b� - baa� <br />PRQPOSED SE OF B LDING <br />Ih/�� �jQ1/!'1I�1 �J��� ` PERMIT <br />� TYPE <br />CONTHACT PRICE OF WORK <br />PARCEL TAX I.D. N <br />� v3�3on. �a�.b"o <br />TRACT <br />//o. Cc�,1tl�,� <br />CONTACT NAME <br />.`jGl J7t0_ <br />\32°j <br />RBuilding <br />Combinelion <br />BDemolilion <br />Sprinkler <br />Plumbing <br />Sign <br />P,�ijM;T�/ / <br />vr � / - p �. <br />� y :���s-iiSE <br />PHONE <br />.�� .•ir <br />ZIP CONTR. LICENSE M <br />a0?�U �o M�� N <br />�� :1QZ <br />Addition l HEAT SOURCE <br />Alleration -lectric <br />New � Gas <br />Ropair/Maint. Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORKOESCRIPTION��S�// A ���/G �o f`U�'�/ ` /�—�� � <br />/�rJ--^� �7 ��r G� r vr n 1 <br />G„i0�/N � l(�/`-�.. /j-�// LO`��7C�iC/ <br />� l <br />NO. I TYpE OF FIXTURe OR ITEM <br />WATGR CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINI( 8 DISPOSAL <br />DISIiWASI1ER <br />LAUNDNYTRAY <br />CLOTH[S WASHEFi <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINI( (SERVICE/BAR/MOP/ETC.) <br />OTH�R <br />NO. � TYPE OF FIXTURE OR ITE�A <br />NC – AIHANDLING UNITS <br />FOfiCED AIR SYSTEMS <br />IiEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />R�NGFHOOD <br />WATER HEATER <br />METAL FIREPLA /STOVE <br />FIREPLACE INSER <br />t3AS FIREPLACE <br />GAS RANGE <br />GAS PIf'ING <br />[XHAUSTFAN <br />OTHER <br />I H[REBV CERITIFY THAT I F1AVE READ AND EXAMINED TNIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFlRECT. ALL <br />PROVISIONS OF Ll�WS �ND ORIDINACES GOVERNING THIS TYPF OF WORK WILL BE COMPLIED WITH WHETfiER SPECIFIED I1ER[IN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTfiER <br />STATE OR LOCAL LAW REGULATIN CONSTRUCTION OR THE PERFORMANC[ OF CONSTRUCTION. THAT I AM �UTHORIZED DY THE <br />OWNER OF THIS PROP[RTY TU RFORM TH[ WORK FOR WH�CH APPLICATION IS A1ADE AND i COMPLY WITH THE STAI"E <br />COh7 LOR L�W 18.27 AND 296200 WAC. <br />,. <br />�' � r ��/ <br />