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SITE ADDRESS <br />i��,�:3 �%e <br />LEGAL LOT NO. <br />oesc. �/ q���. <br />P�,�MIT APPLICATICl. J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK TRA�T <br />33�� <br />n,derf� ���efG.ir«6/� <br />TENANTNAMC <br />CONTRACTOR C J� -L� <br />PHONE <br />PROPOSED USE OF BUILDING <br />� <br />CONTRACT PRICE OP WORK � <br />WORK DESCRIPTION <br />•� �'�h� �����i` !� � <br />PLUMBI� <br />NO. I TVPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PARCEL TAX I.D. k <br />���-�3v-oir_ <br />%6; 3 �!'�L7Q <br />CONTACTNAME <br />ADORESS <br />J <br />Building D Mechanical <br />PeRMIT R Combination U Plumbing <br />TYPE Demolition U Sign <br />B Sprinklor <br />9£^� I <br />ZIP <br />P RMIT M <br />���� - c <br />y�� �ysa -��% <br />PHONE <br />CONTR. LICENSE M <br />Addition <br />Alleralion <br />Naw <br />Repair/MeiM. <br />H� <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�X r o x i�. </v <br />u u N� 47F� hf�N- �F�611�g(,�. <br />N0. I 7'VFE OF FI%TUpE OR REM <br />A/C — AlHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APFLICAT�CN AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEPEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIUi! OF ANY OTH�R <br />STATE OR LOCAI lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORAI THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOAS LAN¢ 18.27 RCW AND 296.200 WAC. <br />5 �ry/� -�' <br />�L <br />