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SITE ADDRE43 <br />3�� <br />LE6A LOT H0. <br />DESC. <br />�7,✓ r <br />TENANTNAME <br />CONTRACTOR <br />PHONE O�/ <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />�ERMIT APPLICAT�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEFETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. I <br />= oo�si�ao� <br />OCK TRACT ' <br />/=/i�Z�,O.ayS /sT /�DO <br />ADDRESS <br />-nir 2230 I��t.a�u- 98: <br />ICONTACTNAME <br />�/97I70A��� ,I /J/Q�f7/ <br />ADDRESS <br />f'1 B1uIding DMechanical <br />PERMIT 1� ombination U Plumbing <br />TVPE FK�( D�emolition U Sign <br />LJ Sprinkler <br />PERMIT M <br />Co3�3 -oo <br />T/O.(/ <br />aP PMONE <br />o� yZs—.3.�9-i <br />PMONE <br />,_'�. ol lO -Sy�.� <br />an corm�. uceHse • <br />dition NEAY SOURCE <br />Alteratbn (��y E�eeVie <br />New �{ u� <br />RepaidMeint. IJ MMr <br />CITY OF EVERETT LOCAL SALES TAX CODE IE �tOb <br />WORKDESCRIPTiON yJ_ /.� eX/5��� µn � � �PG-f— OGG�A?�'1-� <br />� ii�a7 / <br />/'eyu-.�.,a�n�S oe .Sr��a�•'o y�qot.. <br />NO. ' TYPE OF Fll(TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />D�SHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />UR�NAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINI( (SERVICE/QAR/MOP/ETC J <br />OTHER <br />� <br />NO. I TVPE OF FlXTURE OR REM <br />A/C —A/FIANDIING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />LOTHES DRYER <br />Z RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACFJSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPINf3 <br />Z _ EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION f 4D KNOW THE SAME TO BE TRUE AND LORRECT. ALL <br />PROVISIONS UF LAWS AND ORIDINACES GOVERNING TFiIS IYPE OF WORK WILL BE COMPLIED WITH WHEfHEF SPECIFIED MEREIN OR <br />NOT. THE GflANTING OF A F'ERMIT DOES NOT PRESUME TO CaIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTMER <br />OWNER OF �HIS PROPER'Y OTPER OFM THE WORIfFjOH WHICM APPLICATION IS MADE ANDTI COMP Y WITH TH SOTATE D BY THE <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�la <br />