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OD 1'�i <br />LOT N0. <br />t�R, <br />PL�MIT APPLICATI� <br />CITY OF EVERETT PERMIT SER`✓ICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />� `�� <br />i� <br />BLOCK <br />��GS <br />TRACT <br />. TAX I.D. S <br />- �1 �� <br />PERMIT M <br />rn oao <br />TENANTNAME �C�CTNAM�� r� ��Ls \H2SD'��S <br />G 1� <br />PH�T�� ���� ipq� u� �v) LP CONTR. LICENSE M <br />uZS-350�7$�S �� -� �,A ` � �Z.�3 G'�L.E�A�BF <br />PROPOSED USE OF BUILOING <br />CONTRACT PRICE OF WORK <br />Building Mechanical <br />PERMIT B Combinetion � Plumbing <br />TYPE D Demolilion Sign <br />U Sprinkler <br />WORK DESCRIPTION � <br />� v.�c. � N �u- <br />PLUMBING <br />NO. TYPE OF Fl7(TURE OR REM <br />CLOSET <br />LAVAT Y (WASH BASIN) <br />SHOWER <br />KITCHEN SI & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />Addition <br />WORK Alterelion <br />IYPE New <br />RepaidMaint. <br />HEATSOURCE <br />�Eiectric <br />Gas <br />Other <br />CITV OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />N0. I TYPE OF FlXTURE OR ITEM <br />G <br />A/C — AJHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CEiiITIFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE'RUE ANO COf;RECT. ALL <br />PROVISIONS OF L1WS AN� OR�DINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH �VHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT UOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING �jONSTR�ICTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OI' THIS PRO�RTY TO PERPJ�FM TI�E l'JORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />Daz3v ` ��.2 <br />