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SITE ADDRESS (C <br />�e Js iL�-' <br />LEGA 20T;0. <br />DESC. J .r• <br />e <br />� <br />I <br />I�cRMIT �.PPLIC�ATfUN <br />CITY OF EVERETT PERPAIT SERVII:ES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 42!i-257-8857 <br />� Z'j '+' �OC� I�QI.. PARCEL TA7( I.D. # <br />l.-P� N E" Ob l� 53 Obb 00� 00 <br />BLOGK TRacr ' 1 l�� U� N D'�—tr�n�3 <br />t1 <br />RAM�. �-� `�- . <br />TENANTNAME <br />CONTRACTOR Q� � r <br />C' <br />PHONE � , � <br />PROPOSEO USE OF BUI! i71NG <br />CONTRACT PRICE OF WORK <br />WORK OESCRIPTION , 1 ^ . � \ <br />rIC.W <br />ur <br />�, a«��.s� <br />ICONTACT FOR PERMI7 <br />�Ep Qu.�s� <br />ADDRESS <br />R Yv�-+ r�-Z <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />lAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISFOSAL <br />DISFIWASHER <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 />Building D Mechanical <br />PERMIT R Combinallon u Plumbing <br />TYPE D Demolition U S�gn <br />U Sprinkler <br />J <br />Z1P <br />PE IT # <br />%� c�307-0/0 <br />�o , =�- <br />H0� u�A9�� <br />�,�r1' � _ L..3d-5 <br />��— l5� 6 <br />CONTR. LICENSE # <br />AddiGon <br />WORK Altaratlon <br />TYPE New <br />RepaldMalnl. <br />HEATSOURCE <br />�ElecUlc <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />� <br />�-O��\ �`1p� <br />� v v\ <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYEP <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/S10VE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />i HEREBY CER:7IFV THAT I HAVE REA� AND EXAMiNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORReCT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />N07. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROFtRTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAGTIIRSIAW 78.27 RCW AND 296.200 WAC. <br />ci v� �_ V l7 <br />� — �� ' G <br />DEBIT & CREDIT CARDS ARE NQT ACCEPTED <br />