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SITE ADDRESS <br />� <br />; <br />P�RMIT APPLICAi6�IN <br />CITY OF EVERE77 PERMIT SERVICES <br />3200 CCDAR STRE[T, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />TRACT <br />PARCEL TAX I.D. # <br />PERMIT # <br />3 <br />TENANT NAME I CONTACT FOR PERMIT� � PHONE N�'^"'� <br />CP� , � C� nl Cr�,'r�= <br />CONTRACTOR ADDRESS ZIP CONTR.!.ICENSE# <br />F�C3C-�2 3r2o5. !31 L, �.,�,ovc,-�i�ST <br />PHONE �QjZ�L� FAg�,2g�,a�fDQ� <br />3L-o-35y-35oo tv.�ocn�,wA <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />D�2� V� T1� 1ZU Co'i,,!`�'c;� I <br />CONTRACT PRICE OF WORnYp � OO � O OU .!iC� <br />�Building �Mechanical <br />Combination Plumbing <br />Demolilion Sign <br />Sprinkler <br />WORK DESCRIPTION <br />N�w Cori C.-'G ST1a-+�J1� <br />NO. I TYPE OF FIXTURE OR ITEM <br />J_ WATER CLOSET (TOILET) <br />BATHTUB <br />�_ LAVATORY (WASH BASIN) <br />SHOWER <br />I KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />�. FLOOR DRAIN <br />� BACKFLOW PREVERTER <br />SINK (SERVICElBAR/MOP/ETC.) <br />OTHER <br />� <br />� <br />� <br />� <br />Addilion <br />Alterallon <br />New <br />Repafr/Maint. <br />HEATSOURCE <br />�Electric <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/G—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT NEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WA'fER HEATCR <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSEP,T <br />GAS FIREPLACE <br />GAS 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 ANC CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED NJITH WHETHER SPECIFIF.D 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 CONSTRUCTIGN OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 29fi200 WAC. <br />—U <br />DEBIT 8 CREDIT CARDS ARE NOT ACCNPTED <br />