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I <br />� <br />SITE ADDRESS <br />LOT N0. <br />2 <br />P`�.RMIT APPLICATI(�,�V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK I TRACT <br />� � <br />PARCEL TAX I.D. k <br />Boz-oll-ooz-o <br />"��RRY -�FAv� ��'nntLC Iln �. IMflr�l�n AUe 98Zo9 355-/!S(a <br />TENANTNAME I CONTACTNAME PHONE <br />CONTRACTOR <br />PHONE <br />PROPOSED USE OF BUILOING <br />� o L A- r t tn �yl <br />CONTRACT PRICE OF WORK <br />ADORESS <br />Building <br />PERMIT � Combinalion <br />TYPE Demolilion <br />Sprinkler <br />��i��— <br />WORK DESCRIPTION '—I O iy\ S 1"1'�-� 1 <br />.� i_ <br />�� N ou,5 � <br />N0. I TYPE OF FIXTUqE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />j� Mechanical <br />BPlumbing <br />Sign <br />ZIP CONTfl. LICENSE p <br />Addilion HEATSOURCE <br />WORK Alteration R Electric <br />TYPE New �j Gas <br />Fepair/Mainl. L� Olher <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�c��RY�in.vvt <br />2�s'� �-�{ <br />K'� �- -k o 3� �� s� d�. <br />NO. I TYPE OF FIXTURE OR ITEM <br />A1C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACElSTOVE <br />FIREPI.ACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER _ <br />I HEREBY CERITIFY'HAT 1 HAVE READ AND E?(AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. AlL <br />PROVISIONS OF L:1WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMIT DOES NUl' PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STArE..OR LOCAL L1'vV AEGULATING CONSTRI'CTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />O�EF OF yHI�PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />C RACTmRS lqW 18.27 RCW AAD 296.200 WAC. <br />