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����5 �tj� <br />SITE ADDRESS �'� �„ <br />LOT NO. <br />TENANT NAh1E <br />P[�.�MIT APPLICATIC J <br />Cli'Y OF EVERE7T PERMIT SERVICES <br />3200 CEDAR STRLET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />1 <br />TRACT <br />c� _ �( �DZ <br />PARCEL TAX I.D. # I PEFMIT x <br />2Gr� /i2� <br />CONTACTNAME <br />.25 ?S$ • 3Sic� <br />PHONE <br />5udG1�v�,1� c-�- cu.,�Hl� . I br�-c rt� �2s - 3�2 •�a <br />CONTRACTOR ADORESS ZIP CONTR. LICENSE N <br />,tIf', <br />PHONE M.a . Mv►2T�N�►�( Gv • �� r/ '._: �� j i �' j I I J, <br />PROPOSED USE OF BUILDING <br />�,n.IGtl.i(� �i� <br />� Building � Mechanical <br />PERM17IT Com6inalion Plum6ing <br />TYPE Demolilian Sign <br />Sprinkler <br />CONTRACTPRICEOF\YORK � 12��bp� <br />�Atldition HEAT SOURCE <br />Alteration � Electric <br />New Gas <br />Repair/htaint. Olher <br />CIN OF EVERETf LOCAL SALES TA7( COOE IS 3105 <br />�'lORK OESCRIPTION <br />�i��c ectK�M�7 oF Ew�i�rc� C.�hn�G�r ,� oF 4Pr� <br />(��pzrn4'iiv� �F fl�'�'�- �r.+w�i�io�l oF NorLTN Nt�t= "�r� <br />NO. <br />� — <br />� <br />I:]R�. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINI( S OISPOSAL <br />DISHN'ASHER <br />LAUNDRYTRAY <br />CLOTHES 1'/ASHER <br />URINAL <br />DRINKING FOUNTAiN <br />FLOOR DRAIN <br />BACKFLON:PREVENTER <br />SINK (SERVICE. BAR/ti10P/ETC.) <br />OTHER <br />NO. I TVFE OF FIXTURE OR ITEM <br />NC — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER : IFATEfl <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIAEPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HERE9Y CERITIFY THAT I HAVE READ AND EXA�dINED THIS AFPLICATION AND KNOYV THE SAAtE TO BE TRUE At:D CORRECT. AlL I <br />PROVISIONS OF WIVS AND ORIOINACES GOVEPNING THIS TY'PE OF IVORK WILL BE COh1PLIED WITH WHETHER SPECIFIED HEREIN OR I <br />NOT. THE GRANTING OF d PER�dIT DOES NOT PRESUP.tE TO GIVE AUTHORITI TO VIOI.ATE OR CANCEL THE PROVISION OF ANY OTHEfi <br />STATE OR LCCAL lAW REGUWTING CONSTRUCTION OR THE PERFCPI,IANCE OF CONSTRUCTION. THAT I Ah1 :.UTHORIZED BY THE <br />OWNER OF j�HIS PROPERTV TO PERFOR61 THE WOF;K FOR WHICH APPUCATION IS P.tADE AND 1 COAIPLY'NITH THE STATE <br />GCNTRACT�3FS LAW iFl.: 7 RB'N AND 296.200 SVAC. <br />