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SITE ADDRESS <br />S� /& <br />LFGA LOT NO. <br />DESC. <br />D(�iEZ G <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />CONTRACTOH <br />:1��11G/leZ�r/ sT_ s%fL� /ji��L <br />PHONE ��� — S,� J/� <br />PROPOSED USE OF BUILUING <br />G.�r-//ZCI� <br />CONTRACT PRICE OF WORK <br />PAHCEL TAX I.D. A <br />TRACT <br />AUORESS <br />Z� So. ��.9� <br />CONTACT NAME <br />ADDRESS <br />/lc�/ C . /y19eZ�i�/E <br />Building ���[[[ Mechanical <br />PERMIT B Combination�lumbing <br />TVPE D Demolition Sign <br />U Sprinkler <br />ZIP <br />�ni O1� , <br />9g.�o� <br />PERMIT M <br />I�1 oad3-c�a�( <br />PMONE <br />CONTR. UCENSE M <br />E7�Ey1GSSo,z.7�T <br />�Addi�ion <br />Alleration <br />New <br />Fiepair/Meint. <br />HEATSOURCE <br />Electric <br />Ges <br />Other <br />CITV OF EVERETT LOCAL SAIES TA% CODE IS 3105 <br />WORK DESCRIPTION � <br />f/�irwGcmc� E7�c-z7: .�ri�ti.9�f 77� G.'9s <br />.1�s%7pc � :s? G4s Ci�Ui7 /�33i� ii!/ %7/� S-9n,�iZi/!/L `T <br />NO. � TYPE OF flXTUHE OR REM <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 PREVENTEF <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTtiES DRYER <br />fiANGE HOOD <br />WA � ER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />1 HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOV! TFiE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L�1WS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NO7. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTFiORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL lAW FEGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER O�THtSYROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPIY WITH THE STATE <br />CONT�/iCTORS LAW 1827 RCWp[JD 296.200 WAC. <br />G <br />