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� <br />�� <br />SITE ADDRESS <br />LOT N0. <br />TENANTNAME <br />COMRACTOR S �N <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK OESCRIP710N <br />I � <br />P�I�IIIIIT APPLICATIOI� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK <br />l� . <br />NO. I TYPE OF FIXTURE OR REM <br />WATER CLOSET <br />BATHTUB ' <br />LAVATORY (WASf{BASIN) <br />SHOWER - <br />KITCH�N SINK & 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 />OT ^ <br />m� s�n�� <br />�,i2Gc�s � W}n <br />TRACT <br />PARCEL TAX I.D. A� <br />NAME <br />. ADORESS ���s a0trl�i <br />SQ «��e �,.��- . <br />%2�l <br />PEHMR M <br />PHONE <br />. LP CONTR. LICENSE N � <br />a 4� ►N �t . s�`�N�+�ot. o � � <br />PERMIT I..( Cofmbfnation P umbinge1 W�RK B Repreir'/Malnt. I HEpZSO�U� E <br />R �aF <br />TYPE G.j Demolition Sign TYPE New � Gas <br />LJ Spdnkler U <br />CRY OF EVERETT LOCAL SALES TAX Gi1I1� Ih DI�\'�f <br />N0. I TYPE OF FlIfTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />IiEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />flANGE H+)OD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />OAS FIREPIACE <br />GAS RANQE <br />GAS PIPING g ��X�S <br />OTHERST FAN � }�� �w�' <br />�� �\ c� <br />� ��e..��l <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TFIUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT�. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE: PROVISION OF ANY OTHER <br />STA1"E Of�LOCA LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIO�t. THAT I�1M AUTHORIZED BY THE <br />OWNE�1"� THI ROPERTY TO P FORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITii THE STATE <br />r.nNVAAGTOR W 18.27 RCW A�D 296.200 WAS. . _ <br />