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SITE ADORESS <br />/ $0'I <br />LEGA LOT N0. <br />DESC. <br />TENANT NAME <br />P�RMIT APPLICATIL.�! <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 <br />7 S��'�- s-F. 5 ,� . <br />BLOCK TRAC7 <br />CONTRACTORG�wI���O,,� �(Jl,�d�� <br />PHONE �� qU2 <br />PROPOSEO USE OF BUILDING <br />CONTRACT PHICE OF WOHK <br />PARCEL TAX I.D. N <br />CONTAJTNAME <br />ADDRESS � Sy31e L�LS �d� <br />a,t1� so. sk��zo <br />Building Mechenical <br />PEHMIT � Cambinelion R Plumbing <br />TYPE Demolillon � Sign <br />Sprinkler <br />WORN OESCRIPTION <br />U.w L.ca'K� S�v roo�,� <br />� <br />TYPE OF (�%TURE CR REM <br />WATEFi CLGSET <br />BATHTU� <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KI iCHEN SI�IK 8 DISPOSAL <br />DISHWASHFR <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINkING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PERMIT M <br />� �IO - �j/J <br />IP PHONE <br />.ZQ3 <br />PHONE <br />LP CONTIi. UCENSE � <br />9srax �"p`�x-°°8`'S <br />AddiUon <br />WOHK Allerelion <br />TYPE Naw <br />Repair/Me. il <br />MEATSOURCE <br />[� ElBctnt <br />B 6ae <br />Olha� <br />CITY OF EVERETT LOCAL SALES TAX COOE IS ]105 <br />N0. I T PE OF FIJ(TURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AiR SVSTEMS <br />HEAT PUMP <br />UNIT HEATEFS <br />CLOTHES DRVEF <br />RANGEHOOD <br />WATER HEATER <br />METALFIREPLACFJSTOVE <br />FIREPLICE INSERT <br />OAS FlHEPLACE <br />GAS RANG[ <br />GPS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBV CERITIFY'HAT I HAVE REAO AIJD EXAMINED fH15 APPLICATION AN� KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AN� OFIDINACE$ GOVERNING T�11S TYPE OF WORK WILI BE COMPUED WITM WHETHER SPECIFIED HEREIN! . <br />NOT. THE GFiANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TME PROVISION OF ANV G?FIER <br />STATE OR LOCAL LAW REGULATING CONSTPUCTION OR THE PEPFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIZED BY ?IiE <br />OWNER OF THIS PROPEPTV TO PERFORM THE WORK FOP WHICH APPLICAT��N IS MADE AND I COMPLY WITH 1 NE STATE <br />CONTRACT S LAW 18,17 CW AN 296,200 WAC. <br />� � <br />Signel re ol OwneV ontractou utl a ized Agent e�e <br />