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SITE ADQRESS <br />Iz R�c,kEe <br />LEGA LOT NO. � <br />DESC. <br />TENANTNAME <br />��.Nkr.ra� l� <br />NERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK I �ACT <br />C_ ONTRAC�O� S 1 <br />ij�,l e� S '(.mv � <br />PHONE� 60 ��l — O6C-� � <br />PROPOSED USE OF BUILDING <br />PARCEL TAX I.D. p <br />CONTACT FOR PERMIT <br />�f�l�.c g�. �-- <br />ADDRESS <br />204-� �'e�-�4� i�1 <br />PERMIT <br />�t��.y-L�� TYPE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />F���� <br />NO. � NPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PpER�MIT ft <br />W 30'�'O� <br />�l —06� 1 <br />ZIP CONTR. LICENSE R <br />�Mi �J�i� w�581�� (SL��Sc�cbz5k <br />Building � Mechanical I � Addition <br />Combination Plumbing WORK Altereuon <br />OFlmolition Sign IYPE New <br />Sprinkler RepaidMaint. <br />HEATSOURCE <br />�Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />rORCED AIR SYSTEMS <br />riEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLNCE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE REA� AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE A��D CORRECT. ALL <br />PROVISIONS OF LAWS AN� ORIDINACES GOVERNING THIS NPE OF INORK �YILL BE COMPIIED WITH WNEThiER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL � W REGULAT NG CON . RUCTION OR THE PERFGRMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIa P OPERTV TO ERFOR THE WORK FOR WHICH A°PLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT`ORS� 18.27 RC ANU 29 0 WAC. <br />�V �r ' � 4-�i �" �� 3 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />