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SITE ADDRESS <br />37i5 Gf�kts <br />LEOA L07 NO. <br />TENANT NAME <br />1'�bNt <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK <br />�� <br />h�ls <br />PKb N'� S�hod �s <br />PARCEL TAX I.D. • <br />TRACT <br />¢7 3 a G <br />CONTACTNAME <br />AM'kt t5�er <br />°�"�""��R KirFl*�•u/� Assa."�A�2/� !o�'�tc� <br />PHONE 4`D 7VS. ��75 �I�'IiI�'W���'J� � <br />7 <br />PROPOSED USE OF BUILdNO <br />uild'ng DMechanical <br />PERMIT Ccmbination U Plumbing <br />7YPE Demolition U Sign <br />Sprinkler <br />CONTRACTPRICEOFWORK Zy'����' <br />WORK DESCRIPTION <br />g0/12-�'{ <br />� 8?bl <br />PHON6 <br />31I.47�p <br />aP corrrr+. ucerue � <br />�az+o KiRrac�27�hF <br />�Additbn I HEAT SOURCE <br />Alteratlon �lettric <br />New es <br />Repeir/Melnt. Other <br />CRV OF EVEREiI' LOCAL SALES TAX CODE 18 7705 <br />520 5F )n�rio✓ �e�f�r��'e� �t w+�•h <br />NO. � TYPE OF Fl%TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK S DISPOSAL <br />OISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHEF <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER <br />'_"__ J%WiW�/+,II. <br />v <br />NO. I TYPE OF FlXTURE OR REM <br />A/C — AMANDLINl3 UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />_ CLOTHES DRYER <br />fiANCaE HOOD <br />WATER HEATER <br />_ METAL FIREPLACElSTOVE <br />FIR�PLACEINSERT <br />_ (iAS FIREPLACE <br />GAS RANGE <br />GAS PIPINd <br />EXHAUSTFAN <br />_ OTHER <br />I HEREBV CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TN_ SAME TO BE TRUE AND CORRECT. AlL <br />PROVISICNS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK 1VILL BE COMPLIED WITH WHETHER SPECIFIED FiEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAI lAW REGUTATIN6 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNE� F THIS PRORERTY TO PERFORM THE WORK fOR WHICH APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br />CONTR/��TORS LAW 18.27 RCW AND 296200 WAC. <br />�(r�►i�� ' /(/0 � <br />9�� 9 � L <br />