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SI7E ADDRESS � <br />7 �46 �_� <br />LEGA LOT NO. <br />DESC. <br />7ENANT <br />�;�'ERI`VIIT APPLICAT'ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. q <br />" I BLOCK �J I TFACT <br />ADDRESS <br />�aHP 7�1�0 1 ✓, <br />ICONTACT <br />CONTRACTOR <br />G< Fi-�� �..,�1.Tr� <br />PHONE <br />_ "S {:K � <br />PROPOSE� USE OF BUILDING <br />CRr %�-..IPrJ"`� <br />CONTFACT PRICE OF WOp{( <br />I/t/r..� _ <br />AOpRESS <br />�� � �� �,��l,��a s� F�.�,�-f <br />PERMIT a <br />PHONE <br />ZIP CONTR. LICENSE p <br />� <br />Building Mechanical Addition HEAT SOURCE <br />PEqMIT Combination � Plumbing WORK AltcraUon <br />TYPE Demolition Si n Q Elactric <br />9 ITYPE New �J Gas <br />Sprinkler Repair/Mainl. U Other <br />s _� <br />��� CITY OF EVERETT LOCAL SALES TAX CDOE IS 3105 <br />WORK DESCRIPTION <br />f'f ��OGr) L`j.•�j/��.,� 3l�CGI��YIn� <br />/', �st, '`d�i �rk :z � -�r <br />PLUMOING <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ WATER CLOSET <br />_ BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK 8 DISPOSAI <br />_ DISHWASHER <br />_ LAUNDRY TRAY <br />_ CLOTHES WASHER <br />_ URINAL <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />6l� <br />T� ��G � �.'k, S I � <br />Qr, hl !'Y I�P�4k Clpor 5/ns� <br />�r�.� '..,, <br />�ra �.,. � � <br />• � � <br />Na� I TYPE OF PIXTURE OR ITEM <br />'v� — wHANULING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLQT�'�S DRYER <br />RAi .:. �'JOD <br />WA i tn riEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIPY'HAT I F!AVE REqD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AN� CORRECT. ALL <br />PRO��ISIONS OF LAWS AND ORIDINACES GOVERNING THIS 7YPE OF WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED HEREIN OR <br />N05. THE GRANTING OF A?ERPdIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOC.1L LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWN OF THIS PROPERA' T PERFORh1 THE WORK FOfl WHICH APpLICATION IS MADE ANO I COMPLY WITH THE STATE <br />CON7�i1�TORS LAW 18.?�/�qC�,fJD 296.200 WAC. <br />_ �.�—� / �U� <br />Dale <br />