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� <br />� <br />SITE ADDRESS <br />LOT NO. <br />�ESC. <br />i �. <br />PE.�MIT APPLICATIG�.� <br />CITY OF EVERETT F%ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TAX I.D. # <br />PERMIT tl <br />nn oza� - <br />� � ���� l�� <br />TENANTNAME I CONTACTNAME PHONE <br />bw��cc.t - l�r�e <br />CONTRACTOR ADDRESS Q�Z�� ZIP CONTR. LICENSE q <br />�vC—Pl�QEr �c �race �+�4-c � RC 1b i ��, Ma�?a�„� V t�,'�-, ��t-z� ssoz2o-� <br />uZ� 1 2S2 - <br />pFiOPOSED USE OF BUIL�ING <br />CONTRACT PRICE OF <br />Building Mechanical Addition HEATSOURCE <br />PERMIT R Combinalion �Piumbing WORK R Alteration �Electric <br />TYPE Demolition �� Sign IYPE � New Gas <br />B Sprinkler Repair/Maint. Olher <br />9�/ CITY OF cVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION ��-AU� CS� K4blViN'f i-���7ZS� t�- uN T�f��+5 � Z�HA(.tST F�41.1�j� <br />� �As P,p�r�d <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />BACKFLOW PFiEVENTER <br />S�NK (SERVICE/BAFJMOP/ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORC�D AIA SYSTEMS <br />HEAT PUMP <br />UNIT HEP.TERS <br />CLOTHES DRYER <br />RANGEhOUD <br />WATER F'EATER <br />METAL FIRFPLA:;ElSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST AN <br />OTHER ��At,('C- i��AT�� <br />I HEREBY CERITIFY THAT I HAVE flEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ON OF ANY OTHER <br />STATE OF LOCAI. LAW REGUTATING CUNSTRUCTION OR THE PERFOflMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />