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� <br />SITE ADDRESS <br />�Ci�% G <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />ur/�Yh� <br />TENANT NAME <br />CONTRACTOR (7 <br />�IERMIT APPLICAT�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, W,4 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />� r�.� o <br />PHONE Q�6 O ' `�� �,L6 � <br />s, ..� _, <br />PROPOSED USE OF BUILDING <br />CONTflACT PR:CE OF WORK <br />WORK OESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DAINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/6AR/MOP/ETC.) <br />OTHER <br />PARCEL TAX I.D. # <br />TRACT <br />� <br />ADDRESS <br />�9370 /Z�F l'LL <br />Building Mechanical <br />PERMIT Combination Plumbing <br />TYPE � Demolition Sign <br />U Sprinkler <br />PERMIT H <br />PHONE <br />yz� 7.Ty- �fS� <br />ZIP CONTR. LICENSE p <br />�Dl��/1 �dL <br />�JYzZ� <br />�Addilion <br />Alterallon <br />New <br />Ropair/Mainl. <br />HEATSOURCE <br />Electric <br />Gas <br />Olher <br />CITY OF EVEPETT IOCAL SALES TAX CO�E IS 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DfiYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIflEPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />I HEREBY CEFITIFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFI�E F�� D CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COh7PLIED WITH WHEfHER 3PECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFiI1Y TO VIOLATE OR CANCEL THE PRUVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTAUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS lAW 7827 RQWiRND 296.200 WAC. <br />�,���aZ� <br />