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� <br />91TE ADDfiES3 <br />LOT H�. <br />t <br />PrI�MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARGSL TAI( I.D.1 PERY. � <br />Su�, � ao37�'Z c�2 � oc�3-�2_ ( ! /M��o _ <br />_ �__. <br />BLOCK TRACT �r / <br />�C+9o�9 �r]4'.k�!T �,kYdn'k �� i�Ait�' 3R" <br />C^�c�Zirn1 <o-,fr /�1c. <br />TENANTNAME <br />NTRACTOR /' <br />7c �ieRi'u,� CN�"t �nk <br />PHONE <br />42s• 33Yi-77/t� <br />PROGOSED USF OF BUILDINO <br />S�NUcE Rh�ny jj�S, <br />CONTRAGT PpICE OP WORK <br />WOHK OESCRIPTION , �6 g'3 <br />N�J NaSF . <br />ai 7 7 B�ts ic P��, <br />N0. � TYPE OF FIXTURE OR REM <br />WATEH CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK n OISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICF_�@.".i/MOP/ETC.) <br />0"fHEH. <br />� � �x 300.� H/r <br />ICONTACTNAME <br />AODRESS <br />�o Bq+c 3ros— E�T <br />Buildinp <br />PEFMIT � Com6inetbn <br />TYPE Demolitlon <br />Sprinkler <br />DMechn Ucel <br />BPlumbinp <br />Slpn <br />l�3 '/�- 3� •7 <br />PHONE <br />%�P G:!NTi� • �'EN9!• <br />`�a�3 �Fe:�.r�:1'o9y�niF' <br />� Atltlltbn HEAT SOURCE <br />)PR Altenlbn Ek;tAc <br />PE New ps� <br />' RepsldMalnL Olhor <br />CITY OF EVORETT :OCAL BALEB TA% CODE 18 ]106 <br />B � Yoo a� �'�F � . , <br />���� 7 <br />s r� �2 �z -zy -oa <br />N0. I'YPE OF FlXTIiqE OR ITHM <br />A/C—A/HANDLIN(3 UNITS <br />FORCED AIR SY$TEMS . <br />HEAT PUMP • <br />UNiT HEATERS <br />CLOTHf_S DRYER <br />RANOF.HOOD <br />WATE�i HEATEq <br />METAL FIREPLACE/STOVE <br />FIqEf �LACE IIv3ERT <br />OA3fIREPLACE <br />OAS RANQE <br />OA3 PIPINO <br />EXHAIlBT FAN <br />OTHER <br />I HEREBY CERiTIFY THAT I HAVE READ AND E%AMINED THI; APPLICATION AND KNOW THE SAME TO BE TRUE AND COFlRECT. ALL <br />PROVISIONS OF LAWS AND ORIOINACES QOVGRNINQ THIS 7YPE OF WORN WILL BE COMPLIED WITH WHETHER 6PECIFIEO HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOEfi NOT PRESUME TO OIVE AUTHORITV TO VIOLATE OR CANCEL THE PRO`�ISIO� OF ANY OTHER <br />STATE OR LOCAL LAW REODUITINC� r jNSTPUCT70N OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AU1�iORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PERF'ORM THE WORK FOR WI11CM APPLICATION IS MADE AND I COMPLV WITH THE :TATE <br />CONTFjAGTORS U/�Vf61827 R�/ AND 298.200 WAC. <br />