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SITE ADDRESS <br />75�z <br />�E6A lOT N0. <br />P�RMIT APPLICAT��N <br />CITY UF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�' PL <br />l�l'��/�a!!/S .ilti .7ii� <br />TENA NAME <br />CONTRACTOq <br />�'/L✓�� <br />PMONE <br />PpOPOSEO t15E OF BUILDINO <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />/��rs, L �1�r 7 <br />NO. � TYPE OF FI%TURE OR fTEM <br />BLOCK <br />WA I tH (;LOSET <br />BATHTUB <br />LAV.470RY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISPOSAL <br />DISHWASHER <br />IAUNORVTRAY <br />CLOTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SEFVICE/BAR/MOP/ETC.) <br />OTHER <br />PARCEL TAX I.D. I <br />PU ) � -,,? �� <br />PERMR I <br />c�3o�-oa <br />_ /f3/� sa C�s��.,�+J Qn✓ �zsd y�s 33� Gs73 <br />ICO ACTNAME PNONE <br />/�/�.�� `��/'�/7'�— N�c-_ 7�J „�-� �. <br />ADDRESS <br />� Building � Mechanical <br />PERMIT Cambinetion Plumbing <br />TYPE Demolilion Sign <br />Sprinkler <br />LP COHfR. LICENSE I <br />FGA�r/Noy /2K, <br />�ddilbn HEATSOUqCE <br />WOHK Alteialbn D Eletlrk <br />TYPE ew �-pe� <br />Fepelr/Mainl. U Other <br />CITY OF EVERETT LOCAL SALE9 TAX CODE IS J705 <br />NO. � TVpE OF FlXTURE OR ITEM <br />wi: - A/HANDLING UNITS <br />Z FORCED AIR SYSTEMS <br />= HEATPUMP <br />— UNIT HEATERS <br />T CLOTHES DRYER <br />_L RANGE HnOD <br />J_ WATER HEATER <br />_ METAL FIREPLACE/STOVE <br />= FIREPLACE INSERT <br />�_ GAS FIREPLACE <br />GAS FANGE <br />' GAS PIPINO <br />' EXHAUSTFAN <br />_ OTHER <br />HEREBV CERITiFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW TNE SAME TO BE THUE ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDiNACES GCVEHNING THIS TVPE OF WORK WILL BE COMPLIED WITH WNETHEIi SPECIFIED HEREIN OH <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME i0 GIVE AUTNORITY TO VIOLATE OR CANCEL TFiE PROVISION OF ANV OTHEA <br />STATE OR LOCA� UW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE <br />�WN O�iHIS PFOPERTY,70 PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLV WITH TME STATE <br />CO OR�$ {.AW iB.27�W AGD 298.200 WAC. <br />� � �� %� � n � <br />� � `'� �. ) "" ;�,�i� -- <br />