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SITE ADDRESS <br />LOT NO. <br />P��RMIT APPLICATI�.N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />l T I� <br />BLOCK <br />TENANT NAME <br />CONTRACTOR C���IV" / lY�� '� <br />PHONE <br />PHOPOSED USE OF BUILDING I <br />�il" �<- <br />CONTRACT PRICE OF WORK <br />� ���� <br />IPARCELTAX I.D. MO()S <br />�o5l4g�y �3� <br />n�i; �h e t I 1�, <br />ADDRESS <br />; �q30 C� �e <br />CONTACTNAME <br />ADDRESS <br />Building Mechanical <br />PERMIT Combination Plumbing <br />TYPE Demolition Sign <br />Sprinkler <br />WORX DESCRIPTION n i�� t�S�^t"'rLLS5�4� <br />ICC. iT <br />K_-�/�o� � � <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARJMOP/ETC.) <br />OTHER <br />PERMIT N <br />PHONE <br />c����Pa� �iy��,s�/ <br />Addition <br />Alleration <br />Naw <br />Rapair/Melnt. <br />HEATSOURCE <br />�Electrit <br />Ges <br />Other <br />CITY OF EVERETT LOCAL SALES TAX GODE IS 3105 <br />J <br />NEW �titJaJ`�A�TLO%l <br />NO. I TYPE OF FlXTURE OR REM <br />A/C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS /,�� <br />�HEAT PUMP /� � h' <br />UNIT HEATERS , //(G �,(J�' ,�, <br />�CLOTHES DRYER �(N` `�� � <br />RANGE HOOD � �) � <br />� WATER HEATER � <br />_ METAL FIREPLACE/STOVE Gy<,� � �, <br />FIREPLACE INSERT � <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />� <br />I HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PPCVIS�ON OF ANY OTHER <br />STATE Ofi LOCAL LAW REGULATING CON,iTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNE(i OF THIS PROPEFiTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />1CCEPTED <br />3p� -ib <br />��� <br />