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SITE ADDHESS <br />�� ,.i U/_� <br />LOT NO. <br />TENANT <br />CONTRACTOR <br />� qr''[r.C�- <br />PHONE <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />��ERMIT APPLICAT'7N <br />CITY OF EVERE' . PERMIT SERVIGES <br />3200 CEDAR ST cET, EVERETT, WA 99201 <br />425-257-7.d10 - FAX 425-257-9857 <br />.SC <br />BIOCK <br />WORK OESCRIPTION <br />J�/ 1 <br />7 F <br />/�,I�'C `� ?Z�/ <br />� a�uMeir <br />N0. I TYPE OF FI%TURE OR fTEM <br />J_ <br />WATEF CLOSET <br />BATHTUE <br />LAVATORY (WASH BASIN) <br />SHOWEF <br />KITCHEN SINK d DISPOSAL <br />DISHWASHER <br />LAUNDFiV TRAY <br />CLOTNES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />BACKFLOW PRCyF��TER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PARCEL T1�( I.D.1 <br />9,�a7- oa�-�7 00_ <br />�-� ��� <br />;st GiC.,�rt�.•.,vs� av <br />.Sk*�'� c.•�9' 1�ISE <br />fNAMB <br />r�/ .�r���._._ <br />I LP <br />Building DMachanical <br />PERMIT � C. 7bination U Plumbing <br />TYPE Demolitlon U Sign <br />Spr'nkler <br />� <br />�11 s -�3�/-057� <br />PHONE <br />-s - s.s � - �., <br />COr+TR. UCENSE / <br />Addilbn <br />Alleration <br />New <br />Repair/Meint. <br />�y�/�,C <br />HEATSOURCE <br />�ElecUit <br />6ae <br />Olhar <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. I TYPE Of flXTURE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLQTHES DRYER <br />RAN�FH000 <br />WATER HEATER <br />METAI FIREPLACE/STOVE <br />FIREPLACE INSERT <br />6AS FIREPLACE <br />(3AS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />I H::RE6` CERITIFY THAT I HAVE READ AND EXAMINED ThiIS APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORREC7. ALl <br />PROv,�,iONS OF U1WS AN7 ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIE[` MEREIN ON <br />NO' T�IE GPANTING OF A PERMIT DOES NO� PRESUME TO OIVE AUTHORITV TO VIOUTE OR CANCEL THE PROVISION OF ANV OTHER <br />STAT� OR LOCAL UW FEGUUTINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNORI2E� BV THE <br />OWNER OF JNIS PROPEHTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONUiACybR51AW 1827 RGW AND 298.200 WAC. <br />