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SITE ADDRESS <br />ZS t:�� ��1 ���1 <br />� <br />TENAhT <br />P�RMIT APPLICATIC�"V <br />CITY r EVERETT PERMIT SERVICES <br />3200 CEDAR STRE :T, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />CONTRACTOR�', d <br />�%�^-T <br />PMONE <br />y�s=j=��- �� <br />PROPOSED USE OF BUILOINO <br />PARCEL TAX I.D. • <br />1b�07 G�GY�-D`/�-DO <br />NAMF <br />� Building <br />PEqMIT Combinalion <br />�� I TYFE Demolilion <br />Sprinkler <br />CONTRACT PRICE OF WORK <br />WOFK DESCRIPTION <br />I <br />S�r �.�f� � <br />PLUMBING <br />N0. I TVPE OF Fil(TURE OR REM <br />�_ WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUIJORV TRAY <br />� CL07H[S WASHER <br />URINAL <br />DFiNKiNr, FOU��TAiN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAq/MOP/ETC.) <br />OTHER <br />1.��J .���'�E <br />PERMR I <br />C-D �/�/" C7d <br />'>lS S.SY O5� <br />PMONE <br />LP CONTR. LICENSE � <br />Machanical Adaition HEAT SOURCE <br />Plumbing WORN R�...[Ai�eratbn R Elechic <br />Sign IYPE f9 New ,�5j C3aa <br />L�RepeiNMainl. U Othe,. <br />CITY OF EVERETT LOCAL SALES TAX CODE 19 710b <br />NO. � TVPE OF FU(TUHE OH ITEM <br />a:; — q/HANDLING UNITS <br />FORCED Alfi SYSTEMS <br />HEAT PUMP <br />UNIT HEATEHS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />MF.TAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPINO <br />EXHAUST FAtJ <br />Ol'HER <br />I HEREBv CERI7IFY THA71 HAVE HEAD AND EXAMINED TMIS APPLICATION ANO KNOW THE SAME TO BE TPUE AND COFRECT. ALL <br />Pii0VIS10NS OF LAWS AND OqIDINACES GOVERNiNO THIS TVPE Of WORN WILL BE COMPLIED WITM WHEfHcri SPECIFILD HEREIN OR <br />NOT. THE GRANTINO OF A PERMIT OOES NOT PRESUME TOOIVE AUTHOHITV TO VI'JUTE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OH IOCAL LAW REGUL4TIN4 CONSTRUCTION Oq TH£ PERFOHMANCE OF CONSTRUCTION, THAT I AM AUTHORIZED BY TME <br />OWNEF F T S PR ER i0 ERFORM THE WORN FU�i WHICH APP�ICATION IS MA�E AND I COMPLV WITH iHE uTATE <br />CONT . S 1B ,�°° 298.200 WAC. <br />� -:,���c� �/���� <br />ipnal e o wner/ onfraclor/ ul onie pent a19 � <br />1 � �� <br />