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P�RMIT APPLICATI `e..N � B�34�'�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEFETI', WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAR I.D. A <br />(J5 <br />LOT N0. <br />BLOCK I TRACT <br />'����,� Ac. � �u C6�5 � <br />//r�� �/l/ /4 �i/ <br />TENANTNAME CONTACTNAME PHONE <br />.l � Ka�V� T�,n �va�,��F� y�s �,� iss�s <br />���qs�2 ��,T,,e� ��G ADDRE55 F�C��/ w�Q�yC�P CONTR.UCENSEI <br />'� Pa Sox?a "' /'���,-//��'yyr!< <br />PFiONE <br />yas- �-a-2 7Gs�z- <br />PHOPOSED USE OF BUtLDING <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF WORK '7�O <br />WORK DESCRIPTION <br />NO. I TYPE OF FI%TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />9ACKFLOW PNEVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTH�R_ <br />BBuilding <br />Combination <br />Demoiition <br />Sprinkler <br />Plumbing <br />Sign <br />�/- /�---c�5 <br />Adtli�ion <br />WORK Alteralion <br />TYPE ew <br />Repair/Maint. <br />HEA730URCE <br />�tiric <br />es <br />Other <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br />N0. � TYPE OF FIXTURE OR REM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPIACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />1> uG C—%tJOuT,� <br />�,C' /c �S <br />I HEREBY CERITIFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREGT. ALL <br />PROVISIONS OF W WS AtJD ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEPEIN OR <br />NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />S7ATE OR LOCAL LAW REGUU+TING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED 8V THE <br />OWNER OF THIS PFOPERIY TO PERFORM THE WORK�7 R WHICH APPLICATIO�J IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS�LAW 18.27 RCyJ AND 29��00 WAC.// <br />