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SITE ADDRESS <br />271� %� <br />LEGA LOT NO, <br />TENANTNAME <br />PLr�MIT APPLICATIC.J <br />CITY OF EVERETT PERMIT S�f�VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />1�e ru4� <br />BLOCK <br />CONTRACTOR , <br />11'loss ('.�•� Gn�.¢r� <br />PHONE <br />yL� ez�- 6Sa� <br />PROPOSED USE OF BUILDING <br />� �r�'F.hc.4..� <br />CONTRACT PRICE OF WOFK <br />PARCEL TAX I.D. M <br />`i I'�y— •ooc�— c�5 — �� <br />TRACT <br />AODRESS <br />9 %/ox_ [a2. �����1 4 <br />CONTACTNAME <br />PERMIT M <br />�'_ � � - <br />PHONE <br />��c3 �r <br />PHONE <br />Z7/�R � S �' � � Zlp_��3 ONTR. LICENSE M <br />�i y�� <br />Building Mechanica� <br />PERMIT � Combination � Plumbing <br />TYPE Demolilion Sign <br />Sprinkler <br />� 32,cwo <br />WORK DESCRIPTION <br />�-:OD�`fiu� Or� �o�'� O � c, qe2� �d � �7 <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />IAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUPJTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/�AR/MOP/ETCJ <br />/l.i�SS BCI 'lUl Q � <br />�Addition HEAT SOURCE <br />Alteralion � Electric <br />New Gas <br />RepairlMainc Other <br />CITY OF EVEREfT LOCAL SALES TA% CODE IS 3105 <br />N0. � TYPE OF FlXTURE OR ITEM <br />A/G — A/HANDLhVG UNITS <br />FOFiCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS FIPING <br />EXHAUSTFAN <br />OTHER <br />� / <br />U l.l ��� �;'n r �'c." /_!.; ..�_. <br />, �I � , <br />e <br />' I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AN� KNOW THE SAME TO 6E TRUE AND CORRECT. �LL <br />� PROVISIONS OF tAWS APJ� ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />�� NOT. THE GRANTING OF A PERMIT �OES NOT PRESUPdE TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PEPFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />� CON�FAJC�TiaRS L1W 1827 RCW QND 296.200 WAC. <br />_ay-oL <br />% <br />�L <br />