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P`�RMIT APPLI�ATIC' �1 <br />� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-157-8810 - FAX 425-257-SD57 <br />I� 1�040a -p�p� <br />SITE ADDFESS I PARCEL TAX I.D. q PERMiT s <br />/ f� /_� U � ✓c��c'L7V li'✓!a� [.i-'43f B---�j'�- <br />LEGA LOT N0. BLOCK TRACT ` <br />�,�s,y� %�,�I�� i � <br />TENANT NA�.1E <br />`�'`Ny/yC �l'✓ES' .(/Ql7�it <br />CONTRACTOR O '� <br />PHONE 2y3_� n`, ^� y27 <br />D l <br />PROFOSED USE OP BUILDING <br />�!�TL �fALB�k��U/i/�' <br />CONTACTNAME <br />cJ�h �oi <br />�.^%Cv/IYV ADORESS 27�� ���7i���� = � . <br />%4cn/1NLJ l�.d <br />Building Mechanical <br />PERMIT � Combinalion � Plum6ing IWORK <br />TYPE Demolilian Sign TYPE <br />Sprinkler <br />CONTRACT PRICE OF WORK � J 2 �l� � �� <br />/ <br />ZIP PHONE <br />PHONE <br />z.:�-<gy-�yz� <br />ZIP <br />9s'/z; <br />CONTR. LICENSE N <br />�U"R/,f1`f'��>�F <br />Adtlilion I HEAT SOURCE <br />Alleration Eicchic <br />New Gas <br />RepairRdainL Olher <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3705 <br />WORK DESCRIPTION <br />/�'ira<< t-�kz� -sPki/Oi�';�� -�y�Err,s Tkeo�-U�o�� �--t�17i�'r„ G�v��,or�bs s��'o ,�c=p� <br />� <br />�, v:�ii�n,v, <br />� <br />NO. I TYPE OF FIXTURE OFi ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITGHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TP.AY <br />CLOTHES V✓ASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICElBAR/MOP/ETC.) <br />OTHER �f'•Fi.�t/r/.'� <br />� — <br />NO. � TYpE OF FIXTUFiE OR ITEM <br />A/C: —.9/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAI FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTIiER <br />I HEREBY CERITIFY'HAT I HAVE READ AND EXAMINEU THIS APPLICdTION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OFIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERGIIT OOES NOT PRESUME TO GIVE AUTHORITY TO VICLATE OF CANC°L THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTqUCTION OR THE PEf;FORh1ANCE OF CONSTRUCTION. THAT I AM AU7HORIZED BY THE <br />n�•VNER OF THIS PROPERTV TO PERFOqM THE WORK FOR WHICH A�PLICATION IS b1ADE AND I COMPLY WITH THE STATE <br />TRACTORSxi�,�J 18.27 RCW AIyD�gg6200 WAC. <br />, Dat� � <br />