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!-�.Rl�Jll�' APPLICATI��V <br />CITY OF EVE�i�TT PERMIT SERVICES <br />3200 CEDAR 5TREET, EVEFETT, WA 98201 �� �/� �Q7j <br />425-257-8810 - FAX 425-25'I-8857 <br />TENANT NAME � ,l <br />ONT'RACTOR � Ne� <br />�QLL' S <br />PHONE 7r <br />{•> J ' 7i2 <br />PROPOSED USE OF BUILDING <br />%� / . <br />CONTR RICE OF WORK / <br />WORK DESCRIPTiON <br />� <br />P�unneir <br />ND. � TYPE OF Fl7(TURE OR ITEM <br />CONTACTNAME <br />PNONE <br />ADDRESS ZIP CONTR. LICENSE M <br />'7rt� Ac PO �X 7� �g'�z--ac�sr� Noe�yTK <br />z��s z ���� e 1Ty w A <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHO�VER <br />KITCHEN SINK & DISPOSAL <br />_ DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHEH <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PERMIT R <br />TYPE D <br />U <br />Building fl Mechanical I fi Addition I HEATSOURCE <br />Combination H Plumbing WORK K Altaration Electric <br />Demolition l! Sign TYPE �.� New Gas <br />Sprinkler LJ Repair/Malnt. O�her <br />CITY OF EVEflETT LOCAL SALES TAX CODE IS 3105 <br />NO. I TYPE OF FlXTURE OR �TEM <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREFLACElSTOVE <br />FIREPLACE INSERT <br />GAS FIREPVaCE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER �us`- �ANS <br />_�,��� qeti e.a « <br />i HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. All. <br />PROVISIONS OF LAWS AND OPIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERtdIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />OWNER OF OHIS PROPERTY TOTPER ORM THE WORK FOR'WHICFI APPLICATIONFS MADE A OTI�COMP Y W' H THE S�TATE D BY THE <br />cYONTRACYOPS L.1VJ 18.27 RCW AND 29fi200 WA�j � <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�L <br />� <br />