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SITE .4DDRESS <br />� �/D <br />LEGA LOT NO. <br />DESC. <br />TENANT NAME <br />_. �i � <br />R�RMIT APPLICATICi�V <br />(;ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 38201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK <br />CONTRACTOR <br />�verz7� 5�ee�me�qL <br />PHONE <br />PflOPOSED USE OF BUIL�ING <br />PERMIT <br />TYPE <br />CONTRqCT PRICE OF WORK <br />PARCEL TAX I.D. # <br />TRACT <br />CONTACT FOR PERMIT <br />/LL /%% f. <br />ADDRESS <br />33/o C��� <br />PERMIT N <br />1110�-03-0�3 <br />PHONE <br />yzs �s � i S�Y <br />/ �� 7-��� CONTR. LICENSE # <br />I �� I F�res.�id/oF <br />fi Building Mechanical Addition HEATSOURCE <br />�__� Combination Plumbing WORK R Aiteration � Electric <br />{� Demolition Sign TYpE New Gas <br />U Sprinkler B Rapair/Mainl. Other <br />CITY OF EVEREff LOCAL SALES TAX CODE IS 3105 <br />WORK OESCRIPTION �^ <br />�.vsi�FLL �e��,uL �C A�r��o,vol� I�oN1NG— ) <br />c.r� p� nF � .���N,�o� ,�/r�s1— <br />N0. � TYPE OF FIXTURE OR ITEM <br />_ WATER CLOSET <br />_ BATHTUB <br />LAVATORY (WASH BASIN) <br />_ SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />_ CLOTHES WASHER <br />_ URINAL <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHFR <br />NO. � TYPE OF FIXTURE OR ITEM <br />w�—whANULING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CI_OTHES DRYER <br />RAMGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />�AS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <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 OfiIDINACES GOVERNING THIS TYPE OF WGRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW RECaULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM.4UTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CO�lTRACTORS LAW 1827 qCW�1T{D 296.2U0 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />��L <br />