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� <br />SITE ADDRESS <br />'�/3 <br />LEGAI LOT NO. <br />oesc. � � <br />PERMIT APPLICArlO�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. A <br />�-%.SL= ''��CiSiQ . d' 3�( <br />BLOCK TRACT - . <br />1��2v1 G(e...�, <br />l�Viitir� /� -Sa,• <br />TENANTNAME <br />. �4+-�,r <br />CONTRACTOR <br />PHONE <br />/%'..�; , %r „ <br />I CONTACT N.... <br />� <br />J � C' !�/ <br />ADOHESS <br />�w ��s - /� <br />PERMIT M <br />C�° GO �— D (a <br />VHONE <br />; �/ z.f "' .7�. 3 L i I. <br />Z�P CONTR. LICENSE N <br />�n/P.V� ka1/�`i s'.i/"� c�. <br />PROPOSED USE OF BUILDING Building Mechenical Addlllon HEAT SOURCE <br />PERMIT Combinnlion Plumbing WORK Allorallon �I,-,-�/ Eleciric <br />S i• �� 7YPE � Dem��lilion Sign TVPE New {j Gas <br />U Sprinkler Repalr/Mninl. U Olher <br />CONTRACT PRICE OF WOHK Clri OF EVERETT LOCAL 6ALES TAX COOE IS 3105 <br />WORKDESCRIPTION �� �S .� ,���,�. �y �',. <br />/4/ <br />PLUMBING <br />N0. I TYPE OF FIXTURE OR ITEM <br />� <br />;� <br />—f– <br />—U_ <br />WATER CLOS[T <br />��THTUB <br />LAVATORV (WASfi BASIN) <br />SFIOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />L�UNDRY TFiAY <br />CLOTHES WASIIER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DfiAIN <br />�ACKFLJW PREV[NTER <br />SINK (SERVICUBAfUMOP/ETC.) <br />OTHER <br />NO. I TYPE OF FUCTURE OR ITEM <br />NC – A/HANDLING UNITS <br />FORCED AIF SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPIACE/STOVE <br />FIREPLACE INSERT <br />GAS FlFE?LACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />I HEfiEBY CERIiIFV THAT I HAVE READ AND ERA611NED iH15 APPLICATION AND K�lOW THE SAME TO BE TRUE AND CORRECT. A�� <br />PROVISIONS OF LAWS AND ORIDIIJACES GOVERNING THIS TYPE OF WOf�K WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OH <br />NOT THE GFANiING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOUITE OR CANCEL THE PROVISION OF ANV OTHER <br />STl.TE OR LOCAL LAW REGULATING CONSTRUCTION OP THE PERFORMANCE OF CONSTRUC710N. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PFRFORM THE WORK FOR WHICH APPLICATION IS MADE AN'J I COMPLY WITH THE STATE <br />CONTFACTORS LAW 1B 27 RCW AND 296200 WAC. <br />7 <br />/ <br />.ti� : �� �i-Ci.a�-.v � . ��l/ <br />`Iz <br />