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� <br />s �3 �OAd� <br />LOT NO. <br />PERMIT APPLICATI <br />CITY OF �VERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />TENANTNAME / <br />/�l� �/� oa � <br />CONTRACTOR <br />��� -sr�n �7�9 <br />PHONE <br />y�5 - �-�-z - � 6s <br />PARCEL TAX I.D. # <br />TRACT <br />ADDRESS <br />���.r pr?o� <br />CONTACT FOR PERMIT <br />.Tir� 1 0��. <br />ADDRESS �� � �I <br />�� CJ <br />� F,�1-� G� r�i <br />PERMIT # <br />PHONE <br />y�s 7� - <br />ZIP CONTR. LICENSE # <br />PROPOSED USE OF BUILDING I TMPE�T 4-( Spnnk'le�non � S u�n ti ngal I�E B Rep ar�lMaint, I HEAT SO��R�E <br />n <br />L F_� <br />U L� <br />CONTRACT PRICE OF WORK �D� �� CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />WORK DESCRIPn� <br />R� <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TR,4Y <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />� OTHER <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C-AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FQ��T �OR� <br />OTHER dJ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAA7INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING TNIS iYPE OF WORK WILL B[ 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 />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERiY TO PERFORM THE WORK FQR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACi�RS LAW 18.27 RCW AND 296.y{Y,}W[�C. // <br />-»-�r <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />� <br />