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�RMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />1��/ J <br />LEGA LOT NO. <br />DESC. <br />CONTRACTOR G It n O I�"1 <br />D}u p�..,.,b;h� <br />PMONE <br />�ILS S'DI �J'] <br />PROPOSED USE OF BUILDING <br />CONTpACT PRICE OF WORK <br />WORK DESCRIPTION <br />/-�� Ln �! �+ l <br />J <br />NO. I TVPE OF flXTURE OR REM <br />BLOCK I TRACT <br />� WATER C�OSET (TOILET) <br />_ BATH.TUB <br />� LAVATORY (WASH BASIN) <br />SHOWER <br />Z KITCHEN SINK & DISPOSAL <br />,J_ DISHWASHER <br />LAUNDRY TRAY <br />_ CLOTHES WASHER <br />Z URINAL <br />DRINKING FOUNTAIN <br />� FLOOR DRAIN <br />BACKFLOVJPREVENTER <br />SWK (SE�VICE/N EBqR/MOP/ETC.) <br />� OTHER �%� 6 <br />PARCEL TAX I.D. N <br />w <br />ICONTACTNAME <br />ADORESS <br />922 ,S-�A�oo� <br />Building Mechanical <br />PERMIT B Combir3tlon R Plumbing <br />TYPE D Demolition � Sign <br />U Sprinkler (a ol heads) <br />PEqM1T M <br />�HONE <br />21P CONTR. LICENSE N <br />�;o D D PL, o � <br />Add'Aion HEAT SOURCE <br />Alteration Electnc <br />New Ges <br />Repalr/Meint. Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />NO. I TYPE OF flXTURE OR REM <br />_ A/G—A/HANDLINGUNITS <br />_ FORCED AIF SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />_ RANGEHOOD <br />_ WATER HEATER <br />_ METAL FIREPLACE/STOVE <br />_ FIREPLACE INSERT <br />GAS F�flEPLACE <br />GAS RANGE <br />GAS PIPING <br />EXIiAUST FAN <br />I HEFEBY CERITIFV THAT I HAVE FEAD AND EXAMINE� THIS APPLICATION AND KNOW TFiE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVEPNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPE�IFIED HEREIN OR <br />NOT. THE GRANTING OF A PERI,�IT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR GANCEL THE PFOVISIJN OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED PY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WH�CH APPLICATION IS MADE AND I COMPLY WITH TfiE STATE <br />CONTRACTORS LAW 18.27 RCW AND 29fi.200 WAC. <br />