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� <br />SITE ADDRESS <br />�� /3 <br />LEGA LOT N0. <br />DESC. <br />G 4/ C� �i <br />TENANTNAME <br />'� ERMIT APPL�CAT�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-25�-8857 <br />� �' � 1 <br />BLOCK <br />CONTRACTOR <br />��l"(lC S S�',L�-� �C��l�- %�07 <br />PHONE �n <br />PROPOSED USE OF BUILDING <br />CONTqACT PRICE OF WORK <br />Y�ORK DESCPIPTIOP7 <br />NO. I TYPE OF FIXTURE OR ITEM <br />I WATER CIASET <br />�, � BATHTUB <br />j _ LFVATORY (WASH BASIN) <br />�� SHOWER <br />I � KITCHEN SINI( 8 DISPOSAL <br />_ DISHWASHER <br />iLAUNDRY TRAY <br />� CLOTHES WASHER <br />URINAL <br />I DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEi9AR/MOP/ETC.) <br />PARCEL TAX I.D. # <br />TRACT <br />PHONE <br />I/-G'Dz <br />ADDRESS �IP CONTR. LICENSE N <br />3 ��(I K,�u,�e�2 f��� � 1��1�� �r���SS/� <br />� �O .5 U f <br />� 6uilding � Mechanic <br />PERMIT Combination Plumbing <br />7vPE Demolition Sign <br />Sprinkler <br />TYPE <br />Addition HEAT SOURCE <br />Alteration Electric <br />New Ges <br />RepaidM11aint. Other <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />NO. � TYPE OF FIXTURE OR ITEM <br />AJC —Ar'HANDLING UNITS <br />FORCED AIR S�STEMS <br />HEAT PUMP <br />UNIT HEATFqS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />ti1ETA� FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEF+EBY CERITIFY THAT I HAVE READ AND EXA�dI�JED �iHIS APPLICATION AND KN04N THE SAWE TO BE TFUE AND CORRECT. ALL <br />PROVISIONS GF 1.4W5 AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COh1PLIED WITH WHE7'4 l SPECIFIED HEREIN OR <br />NOT. THE GRANTING Gr' A PERMIT DOES NOT PRESUME TO GIVE AUTHORiTY TO VIOLr1TE OH C.ANCEL THE F. '�VISIC�J OF ANY OTHER <br />SiATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 3Y THE <br />O�:VNER OF THIS PROPEtiTY TO PERFORM THE WORK FOR WHICN APPLICATION IS h1ADE APID I COMPLY WITH THE STATC <br />CONTRAL 70FS lAW 1r8.27 RG'N AND 296.200 WAC. <br />d <br />=y—�Z- <br />