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SITE ADDRE38 <br />632 75th SE H4 <br />LE6A LOTNO. <br />Gail /-��.- y <br />TENANT <br />CONTRACTOR <br />Day 8 Nite, INC <br />PHONE425-775-6464 <br />PROP08ED U8E OF BUILDIN6 <br />CONTRACT PRICE OF WORK <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-BB10 - FAX 425•257-8857 <br />PARCEL TAX I.D. N <br />00393700201401 <br />BLOCK TRACT <br />ADD E88 <br />632 75th ST SE #4 <br />CONTACTNAME <br />AD�RESS <br />5700 8 188th St SE <br />Building Mechanical <br />PERMrt B Combinetion Plumbing <br />TypE ❑ Demoll�lon � Slgn <br />U Sprinkler <br />IPERMIT N <br />x �3 0�l- �03 <br />98203 425-355-3659 <br />PMONE <br />LP CONTR. IJCENSE / <br />98037 DAYNIPH044CM <br />�AddMion <br />Alteralbn <br />New <br />Rapalr/Melnt. <br />HEATSOURCE <br />n EIeUAc <br />H6ae <br />LJ OMer <br />CITY OF EVERETT LOCAL 9A1E8 TAX CODE IS �tOS <br />WORKDESCRIPTON Install f10W washer lf1 CIOSCt where Of10 dosn't B%1St <br />(�,'L`�'-• �) ��• �-� £1 L�1G <br />N0. I TYPE OF fl%TURE OR ITEM <br />_ <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNORY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OiHER ___ __ <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR REM <br />A!C - ARIANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHESORVER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I 11EREUY CERIiIFV THAT I MAVE REAU AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF UWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WMETMER SPECIFIED HEREIN OR <br />NOT. TME GRANTING OF A PERMIT UO[S NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR THE PERFORMANCE OF CONSiRUCTION. THAT 1 AM AUTMORIZED BY THE <br />OWNEH OF THIS PROPERTV TO PERFORM THE WORK FOR W HICH APPLICATION IS MADE AND I COMPLV WITM TME STATE <br />CONTRACiORS LAW 18,27 ROW A1JD 7B6,S00 WAC. <br />. � �%�— ` -_ � C. ' � �/��/ ��4��5 <br />