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SITE AOORESS <br />ISo2 (Jc.�� <br />LEGAI LOT NO. <br />DESC i.-i . <br />� <br />PERMIT �PPUCATION � <br />CITY OF EVERETT PERMIT SERVICES I <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAX I.D. # PER�nUi <br />�a-e&e-r � .Y� G-�iS/ �i9' �o � oc� � >J�c � 0-�-5� <br />BLOCH TRACT I <br />�µplJiz�� N(/5EU H i� ?,013 CcY,.g/�dEn/r1E <br />I 4�o Na�l/sN c0u,vts� <br />�� TENANT NAM[ CONTACT FOR PERtd1T <br />;�WrnotlJ�S,tiIUSE[IM /� I Df��OLSo� <br />�� <br />', CONTRACTOR <br />�aA F�,�j�ciNl�¢ucqav <br />I PHONE <br />ADDRESS <br />(osll lq{%'hu�� <br />�1 Yr� G <br />as�� 4zs. �s�.�W� <br />PHONE <br />'1, � . ZS7 . 0�}(oS <br />ZIP CONTR. LICENSE It <br />�ar-Fn�c.r lod �3 <br />PROPOSED USE OF BUILDIYG Building f-1 blechanical AddiLon HEAT SOURCE <br />•� PERh11T Combinalion �_� Plumbing wORK nliem�ion RC��. Elennc <br />C���V�EN � I 7YPE Demolilion V Sign TYPE Ne�v �2(� Gas <br />M(j���r--� Sprinkler aeve��rta�m� L� ome� <br />CONTRACT AICE OF WORK '� °= CITV OF EVERETT IOCAL SALES TAR COOC IS ]705 <br />� � Q�i :�UU <br />WORK DESCRIPTION <br />�2�r+oc�L oF Ews�riN6 �sE�E� �No ��2sr F�arrL oG�i�E �I.�i��l,J6 r z caJ��nla� <br />'to J� CNlWrZE+v S NUS�uM <br />I — <br />� NO. <br />1 °— <br />TYPE OF FI%TURE OR I7Eh1 <br />VJATER CLOSET <br />DATHTUB <br />LAVATORY!WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUN�RY Tf2AY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARIMOP/ETC.) <br />NO. I TYPE OF FIXTURE OR ITEM <br />I WC - A/HANDLING UNITS <br />-- FORCED AIR SVSTEh15 <br />— HEAT PUA1P <br />— UNIT HEATERS <br />—I CIOTHES DRYER <br />I RANGEHOOD <br />I WATER HEATER <br />-- METAL FIREPLACEiSTOVE <br />— FIREPLACE INSERT <br />— GAS FIREPLACE <br />� GAS RANGE <br />GAS PIPING <br />� [XHAUSTFAN <br />OTHER <br />I HERE^Y :ERITIFY THAT I HAVE REi1� AND E�r1A11NED THIS f°PLICATION A4D KNOI"J THE SAME TO BE TRUE �1ND CORRECT. ALL <br />PRCVISIONS OF LAWS AND ORIDMACES GOVERNIN:, THIS NF9 OF WORK WILL �3E C0��IPLIED `NITH WHETHER SPECIFIED HEREIN OR <br />NOT. 7HE GRi1NTING OF A PERMIT �OES NOT PRESU�UE TO GJE AUTHORITY TO VIOLATE OR C.1NCE� THE PROVISION OF ANY OTHER <br />S7ATE OR LOCAL LAW REGULqTING CONSTRUCTION OR THE PERFORAtANCE OP CGNSTftUCTION THAT I Ah1 AUTHORIZEO BV THE <br />OWYER OF THIS PROPERTV TO PEHFORh1 THE WORK FOR WHICH APPUCnTION IS MAOE AND I CO!�1PLY WITH THE STA7E <br />CONTRACTORS LAW 1827 RC1V AND ".96 200 WAC. <br />( U. <br />t � <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />