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SRE <br />LOT NO. <br />TE1i/WT <br />--: - <br />^ 14252578B5T P.1 <br />PERMIT APPL�CATION <br />CITY OF EVERETT PERMIT SERVICES <br />32C0 CEDAR STREET, EVERETT, �rylq g8201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. X <br />"-d '� C� U o300 ; <br />LOCK TRACT <br />ADDRESS <br />� szK� sf � �7�. <br />ICONTACTFORPERMIT <br />CO � �h ln� C��S �ORESS ^ �� <br />U A`,�' ��,�� � �J <br />`Q� <br />VHONE��Cp —Z8Z l T�.�J Z�J—��� i a(.a.s'GC��t.. <br />PROPOSED USE OF BUILDING <br />S �2 <br />Bullding <br />PERMIT B Combinalian <br />TYPE f_] DertwGtion <br />D Sprinkler <br />CONTRACT PRICE OF WORK �-� ('3 O, ^'� <br />WORK DESCRIPTION �'^ r� � �' �� <br />�(1' I.J <br />f�2a�e+' - t3o`f'h <br />NO. � TYPE OF FIXTURE OR rtEM <br />WATER CLOSET (TOILEn <br />BA7HTU8 <br />LAVATORY (WA3H BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER <br />Sign <br />PERMIT N <br />1�1oyo2-6�� <br />NONE <br />���3 `EZ� llq � <br />PMONE <br />21P CONTR. UCENSE N <br />�p cv�Sk��y�� <br />�Addltlon XEATSOURCE <br />Alteratlon �Eleetric <br />N�w � <br />RepnlrlMaint. Olher <br />�n � oF EVERETT LOCAL SALES TNC CODE IS J105 <br />�c��ehl4ce �-l�'l�e�� A�tn t.c.r� <br />�-`.'� `�l � ��"� <br />NO. I TYpE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HpOD <br />WATER HEATER <br />METAL FIREPLACElSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAW <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXFMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, qLl, <br />PROVISIONS OF LAWS AND ORIDINACES GOVERf.�.:G THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME'. O GIVE AUTHORIN TO VIOIATE OR CANCEL THE PROVISION OF qNY OTMER <br />STATE OR LOCAL lAW RECULATING CONSTRUCTION OR THE PERFORMANCE OF CON8TRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEP OF THIS PROPERTY TO PERFORM TNE WORN FOR WMICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />�CCEPTED <br />