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SIT= ADDRESS <br />323U ��� <br />LEGAL LOTIJO. <br />r <br />P�r_RII�IIT APP�IC�TI�N <br />CITY C1F EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-?57-8810 - FAX 425-257-8857 <br />� i �Scv <br />T—BLOCK <br />PARCEL TAX I.D. # <br />Uo 39� �� `�U I �0 0 <br />TRACT <br />rS?�c�-3 <br />(,;�i�uR-n�- J A�KA- �2-3d S�f� STSuJ �tfs��3 �(2� 353-�as7 <br />TENANTNAME I CONTACTFORPERMII" PHONE <br />� I B�'�� �De�rr'-F �-(2�--775-� �1��% <br />cDftY d-�i�/iT� /�G�rm�,�� d-ltT6- ,�!�l�lS l3.tQ A-v�� � g�v37 DAY�s���o�f�(c� <br />PHONE �I LS`777�'Lo ��(9`Y <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE l�F WORK <br />i� 9uilding <br />PERMIT f� Combination <br />TYPE D D.=.molilion <br />U Sprinkler <br />�oa <br />�Mechanical <br />Plumbing <br />Sign <br />�Addilian <br />Alleration <br />New <br />RepairlMaint. <br />HEATSOURCE <br />ElecMc <br />Gss <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />WORKDESCRIPTION ��PG�C� �XIST/NS �/ EFFi�r��-Y �s ���� <br />U'tTN �/��,U 9U% E�=;�eiE�Y G�s �c.r/'.�.v,�cE. <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TO!LET) <br />BATHTUB <br />LAVATORY (WASH BA:'IN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAU��DRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />Sir,iC (SERVICE/BAR/MO?/ETC.) <br />OTHER <br />NO. I 1'YPE OF FIXNRE OR ITEM <br />A/C — AIHANDLING I�NITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEIi00D <br />WATER HEATER <br />METAL FIREPLACElSTOVE <br />FIREPLACEINSERT <br />�AS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />i, I HERE9Y CERITIFY THAT I HAVE READ AND EXAMINcD THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />I PROVISIONS OF LAWS HND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br />i NOT. THE GRANTING OP A PERMIT DOES NOT PRESUM1IE TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHeR <br />� STHTE OR LOCAI LPW REGU:ATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTiON. THAT I AA1 AUTHORIZED BY THE <br />' WNER OF THIS PROPEiRTY TO PERFORM THE WORK FOR WHICH APPI.ICATION IS MADE AND I COMPLY WITH THE STATE <br />, .ONTRAGFbRS LN1N'18.27 R�W AND 296.2.0¢KJAC. <br />-/� 05 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />