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� <br />� <br />� <br />2. 7ZG <br />SITE ADpHESS <br />DESC. <br />TENANTNAME <br />PERMIT AP�LICATI�N <br />CI7Y OF EVERETT PFRMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />PARCEL TA:( I.o, M <br />�93���� <br />� ADDRESS <br />54%Ot. t�15'('. i �►,1 � <br />CONTACTNAME <br />PHONE <br />PHONE <br />CONTRACTO % I A�DD�,�tESS�yy� �t `.� � CO!lTR. UCENSE 7i <br />� /�i?� / lil6Ci✓ `��iy� I � /l/C '(/v�f/'`(/y'?V) � � <br />PHONE <br />� � <br />PFiOPOSED USE OF BUILDING �uilding p�Mechanlcal Adoiiion HEAT SOURCE <br />M#�M'1�N�Nc6 P�t,' PERMIT Combinalion j�'Plumbing WORK Altere�icn Eleclric <br />TYPE Demalition � Sign TYPE aw a.. <br />Sprinkle RBpau/Ma'nt. Other <br />CONTRACT PRICE OF WORK �Q�7ln{� <br />WORKDESCRIPTION ��I��J� <br />�o��.��N�. oF 7�P�1 <br />NO. I TYPE OF Fl%TUpE OR ITEM <br />WA7ER CLOSET <br />9ATHTUB <br />LAVATORV (WASH �ASIN) <br />SI�IOWER <br />KITCHL'N SINK $ DISPOSAL <br />DISHWASHER <br />UIUNDRV TRAY <br />CLOTHES WAStIER <br />FOUNTAIN <br />BACKFLOW PREVENTER <br />SINK (SEIIVICE/BAFUMOP/ETC.) <br />! OTHER <br />� �� <br />�i,F. <br />CITV OF EVERE7T LOCAL SALES TA% COOE IS J105 <br />��cl G �G JVI i4 i l�('�'�N�J <br />NO, I TYPE OF FIXTURE OR ITEM <br />A/C - MiANDLING UIJITS <br />FO D AIR SYSTEMS <br />H T PUMP <br />JIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />ATER HEATER <br />ALFIREPLACE/STOVE <br />FIR LACE INSERT <br />GAS FI PlJ10E <br />GAS RANa <br />GAS PIPING�LO�I� <br />EXHAUST �AN <br />OTHER ^ <br />S <br />1 H[NEOY GEfllTlf•Y 7HAT I HAVE READ AND EXAMINED THIS APFUCATION ANO KNOW 1HE SAME TO BE TRUE AND CORRECT. ALL <br />FROVISIONS Of LAWS ANO OfIi�INACES GOVERNING THIS TYPE OF WOPK WILL 6E COMpLIED WITH WNETHER SPECIFtED HEREIN OR <br />NOT. THE GFIANTING OF A PERMI DOES NOT PFESUME TO GIVE AUTHORITY TO VIOI.ATE OR CANCELTHE PROVISION OF ANY OTMER <br />STAYfi OR LOCAI LA REGUUTI G CONSI�RUCTIO� Ofi THE P RFORMANCE OF CONSTRUCTION. TtIAT I AM AUTHORI2ED BY THE <br />OWNER OF TIiIS Pfl PGH fY T FiFOR61 THE WORK FO ICH APPLICATION IS MADE AND I COMPLY WITH TFIE STATE <br />�6[Of15 LA 0.2JA ND 296200 WAC � <br />Z <br />D`� <br />