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SITE ADDRESS <br />DESC. <br />P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - �AX 425-257-8857 <br />�- `�7 -� ; s �' � � s, r_ <br />OTNO. /Z BLOCK TRPCT <br />PARCEL TAX I.D. M <br />� i'.O.( / 4�r�i'] _� <br />F- <br />3 t'C1 <br />/J,,v Go� - � S' <br />PERMIT M <br />�° l�OS-O <br />w�"_r/Ii� �( _.Sr.'�/ ��t�l.'' �1-•-. � <br />TENANT NAME I C01�TACT NAME PHONE <br />�.�j1i [ � . �' /� / � �%NlL�� � �� �-'% � J L l �- �i� <br />CONTRACTOR <br />PHONE <br />� /�z, y �, <br />ADDRESS <br />21P COMR. LICENSE 11 <br />�/r���/'� � 95S�M C— <br />PROPOSED USE OF BUILDING Building I'"1 Mechnnical AddiUon HEAT SOURCE <br />PERMIT Combinalion �� Plumbing WORK Allerellan R Electrk <br />��,, // TYPE Damolilion �� Sign TYPE New J� Oas <br />Sprinkler RepaidMeinl, l� Omar <br />CONTRACT PRIC� OF WORK CITY OF EVERETT LOCAL SALE9 TAX CODE IS 3705 <br />WORKDESCRIPTION �,yi�c !!� <br />� `/ / <br />ND. � TYPE OF FIXTURE OR ITEM <br />� <br />WAi'Efl CLOSET <br />BATHTUD <br />LAVATORY �WASH B�SIN) <br />SHOWER <br />KITCH[N SINK 8 DISPOSAL <br />DISHWASHEfi <br />LAUNDRYTRAY <br />CLO�HES WASHEF <br />URINAL <br />DP�NKING FOUNTAIN <br />FLUOf{ DRAIN <br />BACK�LOW PREVENTER <br />SINK �SERVICE/DAR/MOP/ETC.) <br />N0. I TVPE OF Fll(TURE OR REM <br />A/C - A/HANDLINQ UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRVER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GAS RANGE <br />GAS F'IPING <br />EXHAUSTFAN <br />I HEREBV CERITIFY THAT I HAV[ F[AD AND EXAh11NED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIO�JS OF 1�1WS AND ORID!NAC[5 GOVERNING THIS TVPE OF WORK WILL BE COIdPL1ED WITH WHETHER SPECIFIED HEREIN OR <br />NOT TH[ GRANTIWG OP A P[RMIT �OES NOT PRESUME TO GIVE AUTHORITV TO VIOV+TE OR CANCEL THE PROVISION OF ANV OTHER <br />ST�TE OR LOCAL lAW REGULA7lNG CONSTRUCTION OR THE PERFORMANCE OP CONSTPUCTION THAT I AM AUTNORIZED BV THE <br />OWNCR C�F TFIIS 1'ROPER7Y TO PERFORM THE WOFK fOR WHiCH APPLICATION �S MADE AND I COMPLY WITH THE STATE <br />CON7RAG fORS LAW 18.27 RCW AND 29G200 WAC. <br />J �/ <br />