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PE_iMIT APPLICATIC_ ] <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98207 <br />425-257-8810 — FAX 425-257-8857 <br />I SITE ADDFESS PARCEL TAX I.D. # PEFAIIT n <br />i aa � Ar� �� � 0 3- o Sv <br />LEG: LOTNO. BLOCK TRACT <br />DESC. <br />��� �� � T _ . ADDRESS ZIP PI10NE <br />ril "�pl utii �-1-�C <br />Stt� 54.1 MR[�hA� ��a�(At.S �c <br />� TENANTNAtAE I CONTACTNAME PHONE <br />I CONTRACTOR <br />t✓��� 5',�7s ff��7' � /J� <br />PHONE <br />I�_'�25) 25Z-311�f <br />PROPOSEO USE OF BUIL�ING <br />; ryss�siE� �-,vte <br />'� CONTRACT PRICE OF <br />� WORK �ESCFiIPTION �.u�r <br />� �4-KJ Q.kS l..twp, <br />Q <br />ADOR S <br />2�7A �iKl�-t,G <br />Building Mechanical <br />PERMIT R Combinalion Plumbing <br />TYPE � Demolition Sign <br />Sprinkler <br />l?1iC3 f I/.� (,u.c..'r <br />> FIQEP��E <br />NO. I TYPE OF FIXTUFE Ofl ITEM <br />�� WATER CLOSET <br />BATIiTUB <br />LAVATORY (WASH BASIN) <br />i _ SHOWER <br />� KITCHEN SINK 8 DISPOSAL <br />DISHN'ASHER <br />LAUNDRY TRAY <br />CLOTHES'NASHER <br />URINAL <br />� DRINKING FOUNTAIN <br />FLOOF DRAIN <br />� BACKFLOW PR[VENTER <br />_ SINK jSERVICE/BAR/MOP;ETC.) <br />_ OTHER <br />r <br />2IP CONTR. LICENSE N <br />48wi <br />rE�b�� <br />Atldilion I HEAT SOURCE <br />IK Aiteraiion Electnc <br />= New � Gas <br />RepairRdaml. U Other <br />CITY OF EVERETT IOCAL SALES TAX CO�E IS 3105 <br />�.�n5cr � �aM+.-� 3 C=kcYAt�ST <br />NO. � TYPE OF FIXTURE OR ITEM <br />AiG —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT H[ATERS �\ � <br />CLOTHFS DRYER �J �< < <-� <br />RANGEHOOD <br />WATER HEATER <br />AIGTAL FIREPLACE/STOVE <br />FIRFPLACE INSERT <br />GAS FlqEPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER _ <br />i HEnEBY CERITIFV THAT I HAVE READ AND EXA�dINED THIS APPI!CATION ANO KNOW THE SAAtE TO BE TRUE AND CORRECT. AlL <br />PPOVISIONS OF f..1W5 AND ORIDINACES GOVERNING THIS TYPE OF WCRK WILL BE CCMPLIED'NITH VJHETHEF SPECIF!ED HEREIN OR <br />t:OT THE GRANTING OF A PERh11T OOES NOT PR6SUtdE TO GIVE AUTHORITY TO VI041TE OR CANCEL THE PFOVISION OF ANY OTHEfl <br />STATE OR LOCAL LAVJ REGULATING CONSTRUCTION OR THE FERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OIVNER OF THI FOPEFTY TO �P�-8�ORhf THE WORK FOR bVHICH APPLICATION IS A1ADE AND I CCh1PLY WITH THE STATE <br />CGNTF�A�O LAW 782j�RCSV A I3'2g6.200 WAC. <br />