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SITE <br />TENANT <br />P�RMIT APPLICATIC.IV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />tt�5 PARCEL TAX I.D. � <br />Nocr3/'�oK A�,�. �5��.3s-ooy <br />LOT NO. BLOCK TBACT <br />CONTACT FOR PERMIT <br />� � �-� — U`-J <br />f� � <br />. %�� - �� <br />-i n ori�-� v� ->v. <br />PHONE <br />yd� 3 Y�-i�S a� <br />4Ury�KAG�UH ADDRESS - ZIP CONTR.LICENSE#� <br />, ' � �/ i "�y�. <br />� /�j•�/Nif � <br />o, <br />PHO E / C�J( N ���vOFj �H/Ny�O%LJL3/4' <br />ya��-3�/�-%Cc7� ,T=-rJh.E'i��i • '• . . <br />. <br />PROPOSED USE OF BUILDING Ii Building rf MeChaniCal �' Addilion HEAT SOURCE <br />PERMIT �K Combination �_� Plumbing WORK �Ieration I �ectnc <br />���G��f �.-A��G� TYPE �__j Demotition LI Si�n TYPE New as <br />U Sprinkle� Repair/MainL Other <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />S•-a �' � rF �/an-ri c � <br />G%�� , <br />PLUMBIt <br />NO. I TYPE OF fIXTURE OR ITEM <br />CIN OF EVERETT I.00AL SALES TAX CODE IS 3705 <br />c,-S -,S?CJ,2cl r(f .Si �h N14.� G�Jr i i-� �/?SI.",v�/i.s% <br />/ <br />� WATER CLOSET (TOILtT) <br />�BATHTUB <br />LAVATORY (WASH B�SIN) <br />/ SHOWER <br />�_ KITCHEN SINK 8 DISPUSAL <br />� DISHWASHER <br />LAUNDRY TRAY <br />� CLOTHES WASHER <br />URIN iL <br />DRI��KING FOUNTAIN <br />FLOOR DRAIN <br />BACKF'_OW PREVENTER <br />_ SINK (SERVICE/BA�./MOP/ETC.) <br />OTHER <br />NO. <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C -A/HANOLING UNITS <br />� FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES DRYER <br />_j_ RANGE HOOD <br />,J_ WATEF HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />_L GAS FIREPLACE <br />_L GAS RANGE <br />�_ GAS PIPING <br />_(� EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAAiINED THIS APPLICATION AND KNOW THE SAtAE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WOr�K WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING CF A PEftA11T DOES NOT, �PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />CON E ORFORS �q y0' ER7 CW AND 20N5oo �+�.'ORK FOR WHICH PPLI(.ATION IS MADE ANDTIOCOA P Y VJ TH THE SOTATE D BY THE <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />'�7 <br />u <br />