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� <br />� <br />SITE ADDRESS <br />�O � o <br />LEGA LOT NO. <br />DESC. <br />OWNER �^ <br />f/�j?,t' �'�J' <br />TENAN NAME <br />5���� <br />CONTRACTO�/�L� <br />PHONE <br />P�RMIT APPLICATI(�.J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CCDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />��✓L <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />TRACT <br />PAFiCEL TAX I.D. k <br />cieot...v ,,�,�, L-t/, <br />ICON7ACTNAME <br />ADDRESS <br />Build(ng Mechaniral <br />PERMIT B Combination � Plumbing <br />TYPE D Demolition Sign <br />�� Sprinkler <br />PERMIT M <br />Yh�7�'� <br />ZIP PHONE <br />..�s�:77 <br />PHONE <br />LP CONTR. LICENSE N <br />Addition <br />WORK Alteration <br />TYPE New <br />Repair/Mainl. <br />HEATSOURCE <br />Electric <br />Gas <br />Olher <br />CITV OF EVERE7T LOCAL SALES TA7C COOE IS 3105 <br />�-_ .r/ S%'�K L ft G I}� Fv�•c��c•�' /�•v0 fjb� Lv9T��1 Tii�/� <br />NO. � TYPE OF fl7fTURE OA REM <br />WAItH GLOSt� <br />BATNTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN Slfv�( 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />UFIIN�L <br />DRI�:KING FOUNTAIN <br />FLOOR DRA�N <br />BACKFLOW PREVENTEF <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTtIER <br />N0. � TYPE OF FIXTURE OR REM <br />A/i: — A/HANDLING UNITS <br />FC�9CED AIR SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />RANGE HOOD <br />� WATER HEATER <br />_ METAL FIREPLP.CE':;TOVE <br />� FIREPLACE INSERT <br />_ GAS FIREPLACF. <br />GAS RANGE <br />� GAS PIPING <br />_I EXHAUST FAN <br />_ OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION AND KNON"n+! S.:tviE TO BE TRUE AND CORRECT. ALL <br />PRCVISIONS OF LAWS AND ORIDINACES GOVERNI•!G THIS TYPE OF WORK WILL 0E CJ' ir_.�D WITH WHETHER SPEC�FIED HEREIN OR <br />NOT. THE G17ANTING Of A PERMIT DOES NOT PRESUME i�0 GIVE AUTHORITY TU VIO.AiE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OF LOCAL lAW REGULATING CONSTRUCTION OR TIiE PERFORMANCE GF COM1STRUCTION. THAT I AM AUTHORIZED 8Y THE <br />OW�NER O��IS PROP� Tf% pERFORM THE WOR': FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />C NTRA S LAW�82�Rff�VVAND 296.200 WAC. <br />/O �?-�c�2 <br />� �� <br />