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SITE ADDRESS <br />o TN <br />0_15 <br />LOTNO <br />�esc <br />( <br />PtRMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STP.EET EVEf2ETT, WA 99201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK� TRACT <br />PARCEL TA% I.D. p <br />u s,-� L• � o e 6.i <br />Un�„— $ <br />Pc.n,J �� 3d C <br />PERMiT a <br />Cc�3ra— <br />�rvnen ..,.,,,....,. _ ( q�,s� 3�a i- y C:� o <br />� �vlT t�-�owie[�u��ddYLS,.I.J� . pB�o,Y/.S7y •�nJ4Nowii.i,�/ a�A X=`�� -- <br />7ENANT N. `dE � CONTACT FOR PERMIT � PHONE <br />CONTRACTOR <br />�.��� <br />�NE <br />z�"� 3; 3 -yaou <br />VROPCSEO USE OF BUILDING <br />/Lcl..: �%Ca.sc �OrJSi7-' <br />L � �) <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTI(1N <br />SF� r��-s �c <br />�n AOORESS/ _ ' ;`P �ON���E�J85n <br />oGo �.5 �y sNurf��,.sN u�H 9.�'�l� 3 <br />Building Mechanical <br />PERMIT � Combination R Plumbing <br />iVPE Demolilion D Sign <br />Spiinkler <br />� (o5".Coo <br />z z �(.� �- <br />PLUMBING <br />NO � TYPE OF FI%TURE OR ITEM <br />3 WATER CLOSET jT01L[T) <br />2 BATHTUB <br />.i LAVATORY (WASH BASIN) <br />� SHOWER <br />= KITCHEN SINK 8 DISPOSAI <br />(_ I DiSHWA�HER <br />— i LAUNURY TRAY <br />_r�� CLOTHESWASNER <br />_, URINAL <br />— CR�NK�NG FOUNTAIN <br />�, FLOOR DRAiN <br />1_�,BACKFLOW PREVENTER <br />_; SiNK (SERVICEIBAR/MCPoETC.) <br />pTHER _ <br />TYPE <br />t,�V �i�to/a:�s <br />AOOdion MEAT SOURCE <br />Aiterauon Eiectt; <br />New � Gas <br />ReOartiMainl. L> omer <br />CITY OF EVERETT LOCAL SALES TA%COOE IS J105 <br />N0. � TYPE OF FI%TURE OR ITEM <br />� 'A/C-A/HANDLINGUNITS <br />L FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />L CLOTHES DRYER <br />j_ RANGEHOOD <br />L WATER HEATER <br />METAL FIREPLACErSTOVE <br />FIREPLACE INSERT <br />/ GAS FIREPLACE <br />�GAS RANGE <br />GAS PIPING <br />F.XHAUST FAN <br />OThiER <br />^EREB� CERITIFV THAT I HAVE READ AND EXAMC:ED THIS APPUCATION AND KNOW TME SAME TO BE TRUE FND COFRECT A��, <br />�=+0': iSiONS OF WWS AND ORI�iNACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH \NNETNER SPECIFiED �EnE". _ <br />TnE vRANTING OF A PERMIT DOE$ NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE PROVISION GF .:'.� C•^E°: <br />'r.T[ OR :OCAL Ll.W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTNORIZE.�. 9� -^e <br />,�ycR OF TniS PROPEjtTV TU PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WI7M THE STATE <br />:.;':'�U�ORS LAt4' �Q/17 RCIYANO'.96100 WAC , <br />C <br />�'�rt <br />Ll3JlD <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />