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SITE ADDRESS <br />.OT NO. <br />C)ESC <br />�CRMIT APPLICAT.��N <br />CITY OF EVERETi' PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />, . 425-257-8810 - FAX 425-257-8857 <br />BLOCK I TRACT <br />P'4RCEL TAX I.D, k <br />> 439�>"1 I St�l OU <br />�i�6-vZ <br />SNc:I-IotttS!-1 Cr�u�tT'�f 3U� ��'�� R8�1 4�-3st�-3118 <br />TENANT NAh1E , CONT T NAPA P ONE <br />�. Aa.�� Go�i2. C.�++ncc-r) .. 2z5 - 515'� <br />SNoGItsMI� cou►�-� .�7A(:� MCf�-f��S.C���.� �z�-38b-3��$ <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE X <br />PHONE �t�s�lti��jc.�t'j C�S���`�, 14`I19 <br />PR A";�L�INQ„\ � 9wlding <br />i.�1�l1� �j�r��-y� d PERMIT Combinalion <br />� � ��� TYPE Demolition <br />�--� Sprinkler <br />:ONTRACT PRICE OF WORK <br />}d� 2q'fi= I'2X-� <br />���� Ws• °ISvo"�- <br />�Mechanical Addition HEd�SOURCE <br />Plumhing WORK R Alteralion �l Electric <br />U Sign 1YPE D New D Gas <br />�� t'��� U Repaid6faint. U Other <br />r>?, J,) ..7 I CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />WO?K D�EU'RIG1O0 LUBIL YD.K+�J �ca.v,11'io"1 � svl� H�i�i►��r 575t�t fae s►aox�N4 oF �u> <br />,20o c►.rc p�k,c�u4 4n-�c►.4� ,r,►�n 3a000 eues�c �(►.r�v5 r�xea�a��o�4 Fac. <br />�I�w LauW�`( 3alc.. <br />NO. I TYPE OF FIXTURE OR ITEM <br />W�TER CLOSET <br />6ATI1' UB <br />LAVATGRY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK S DISPOSAL <br />DISHWASHER <br />LAUNDFY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEF <br />SINK (SERVICEiBAR/MOP'ETC.) <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />C�OTHES 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 HEFEBY CERITIFV 'HAT I HAVE READ AND EXAt.1WED THIS APPLICATION AND KNOW THE Sdh1E TO BE TRUE AND CORPECT. ALL <br />PROVISIONS OF LAIVS AND ORIDINAC[5 GOVEFNING THIS NPE OF WORK WILL BE COh1PUED WITH WHETHEF SPEGrIED HEREIN 0.9 <br />NOT. THE GRANTING OF A PERt.11T �OES NOT PRESUM1tE TO GIVE AUTHORITY TO VIOfATE OR CANCEL THE PROVISION OF ANY OTHEII <br />STATE OF LOCAL LAW REGULITING CONSTPUCTION OR THE PERFORAtANCE OF CONSTRUCTION. THAT I AA1 AUTHORIZED BY THE <br />OWNER OF THIS PROPERT' TO PERFOR�d THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE ST,;TE <br />CONTR�6TOFS LA1Y 1827 RC}N AND 296.2C0 WAC. <br />\I� <br />