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� <br />�� <br />P�RMIT AP�LICATIC'�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />(oG� �R2vcsa�/ � <br />LEGA LOT NO. BLOCK <br />PARCEL TAX I.D.1 <br />� �soKo�ooye <br />TRACT <br />c���3_ <br />PERMIT R <br />TENANTNAME I CONTACTNAME PHONE <br />T/�N MoLwrqy�/ <br />CONTHACTOR ADDRESS kTp � � LP CONTR.UCENSEII <br />'H�'css„�rkc P�UM3�.�s, .r.�c. 'no r3oX �ig 9'Sloiv t�'�o�P� �98PL- <br />PMONE <br />4z� 33'; -�IIS'3 <br />PROPOSED USE OF BUILDING <br />Building ��((''''))�- Mechanical <br />PERMIT g Combinalion�lumbing <br />TYPE D Demolition ign <br />U Spdnkler <br />CONTRAC7 PRICE OF WORK (,r p�� �?v <br />Addition <br />WORK Allerat:on <br />Trae New <br />RepeiqMeinl. <br />HEA730URCE <br />D Electrk <br />g oe, <br />Other <br />CITY OF EVERETT LOCAL SALES TA% COCE IS J7Db <br />WORK DESCHIPTION ��u M/3 �nl� (�OM%��sT� o� ��77��QC9N� S� GUNUf /QrQEl� <br />�-�o MEc.F�n�ic.a� �7B �M �,�fL TEN�r ;z,yrPlld�l£M�.�/r <br />NO. � TYPE OF FlXTURE OR ITEM <br />� WATER CLOSET <br />BATHTUB <br />� LAVATOfiY (WASH BASIN) <br />SHOWER <br />� KITCHEN SINK & DISPOSAL <br />_ DISHWASHER <br />_ LAUNDfiY TRAY <br />,_ CLOTHES WASHER <br />� URINAL <br />DR�NKING FOUNTAIN <br />� FLOOR DRAIN <br />BACKFLOW PFEVENTEIi <br />� SINK (SERVICE/BAR/MOP/ETC.) <br />N0. � TYPE OF FlXTURE OR ITEM <br />_ A/C — AMANOLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />_ UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />� WATER HEATER <br />_ METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I NEREBY CEHITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TP.UE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OFiIDINACES GOVERNING TH�S TYPE OF WORK WILL BE COMPLIED WITH WHETHER 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 />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWyEA OF 7HIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAUE AND I COMPLY WITH THE STATE <br />C(� R� CTORS LAW 1 B. R W hND 296.200 WAC. <br />c�;�-�, �.� 3-1 �'-o � <br />