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SI7E ADI7RESS <br />LOT <br />DESC. <br />� cRMlT APPLICATI.�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, VI�A 98201 <br />425-257-8810 - FAX 425-257-8857 <br />C��,� ''� fa�e3 <br />C�`�t� �k � <br />BLOCK TRACT <br />PARCEL TAX I.D. M <br />ro0'1 mn,rdo 3 <br />PERMIT d <br />Co3o3-oi <br />Of � <br />•��.s3 <br />TENANTNAME � ' �I CONTACTNAM[ PHONE <br />_ p� �h2li �� <br />1C� TRACTOR A ' A ADORESS ZIP CONTR. LICENSE q <br />��lt% �L�� c�w'Gi.!' �,-I i'�j,'ti .5�' <br />`12s-asS �.x• N�l- v�.r a3,o�s3 £�-c�.,a-u.1 C�z.3 <br />I PERMIT I�}—Com�n ion Plumbing <br />��„ /� � TYPE H Demolilion Si(�n <br />� w..�v��y LJ Sprinkler (a at hcads) <br />CONTRACT PRICE OF WORK ,�I�,LS�. ry <br />WORK DESCRIP770N <br />ddition <br />WORK Alterntion <br />TYPE New <br />RepaidMalnt. <br />HEATSOURCE <br />Eleciric <br />Gas <br />Olher <br />-- I� CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />�}.�CCo-w,L � ct� tt�t,•.� /6' 6' �/7�' L �. <br />NO. I TYPE OF FIXTURE OR ITEA1 <br />WATER CLOSET (TOILET) <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.1 <br />MECHANICAL <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PU��AP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />W�tTER HEATER \ , <br />METAL FIREPLACE/STOVE h// <br />FIREPLACE INSERT '/(1'— <br />GAS FIREPLACE ``1' r� `r <br />GASRANGE ' �V-'r <br />GAS PIPING �U <br />EXHAUSTFAN <br />OTHER (� � <br />C� V <br />) <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAAfINED THIS APPLICATION A�') XNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PHOVISIONS OF (AWS AND ORIDINACES GOVBRNING THIS TYPE OF l^/ORK YJILL 6E COMPLIED WITH WHETHER SPEGIFIED HEREIN OR <br />NOT. THE GRAYTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOR' IY TO VIOLPTE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULITING CONSTRUCTION OR THE PERFORMA',JCE OF WNSTRUC710N. THAT I AM AUTHORIZED BY THE <br />OIVNER OF THIS PROPERN TO PERFORM1I THE WORK FOH WHICH APPCCATION IS �dADE AND I COMPLY WITH THE STATE <br />CUNTRACTORS L.1N 18.27 RCW AND 296.200 WAC. <br />3 <br />'/a <br />