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SITE ADDRESS � <br />�po3 r�� •�^l <br />LEGA LOT 170. <br />S�e� <br />TENANT <br />��� <br />PERMIT APPLICATION <br />CITY OF E`✓ERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425 257-8810 - FAX 425-257-8857 <br />�verGTl �✓� OC <br />BLOCK TRACT <br />CON�tA(C�F{o-,f.�0„ CDrStCa <br />F b p <br />PHONE y� � t � 1� 1 q� 1 <br />'l J <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK'ESC RIwP�T�ti 0� <br />3 I�i <br />PARCEL TAX I.D. A <br />-�-�� -yo90 -,So� <br />; � ZIP <br />,�r Cverc� Wn �j �2,�1 <br />PERMIT N <br />�y1s .3�9 zi/5 <br />�ACT FOR PERMR PXONE <br />row� �-hs�tR yZ s �iq is� � <br />ADDRESS �y ZIP CON7R. L�CENSE / <br />Z � /,5 � EhS¢ �� t✓eCI ��2 � � �o�a.NOCC05ZDC <br />Buildfng Mechanical <br />PERMIT Combination Plumbing <br />TYPE DemoliHon Sign <br />Sprinkler <br />\ �.c�oo '�a�� O <br />cr-ricjc r eJl �S�I ��, <br />NO. � TYPE OF FD(TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOW ER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER <br />Add�tlon <br />ateraeon <br />New <br />RepairlMalnt. <br />HEATSOURCE <br />D EkcMc <br />g �, <br />Other <br />CITY OF EVERETT LOCAL SALES TAX Cooe is a� oe <br />,,,, s� — /U v sf �-+.�cfi.,.u-[. <br />NO.. I TYPE OF FlXTURE OR ITEM <br />A/C — AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAI FIREPLACFJSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING TFiIS TYPE OF WORK WILL BE COMPLIED WITH WNETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />OW NER OF �HIS PROPERTY O PER ORM THt WORK POR WHICH APPLIACAT ONFS MADERAND COMP Y WITFI TH SOTATE D BY THE <br />rntiTancTORS LAW 18.27 RCW AND 7p6.200 WAC. <br />C <br />8 CREDIT CAR�)S ARE NOT ACCEPTED <br />