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� <br />� <br />�RMIT �►PPLiCATI`�N <br />CITY OF EVERETT PERMIT SERV'ICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS S� B� � PARCEL TAX I.D. # I PERMIT q <br />�or No. <br />DESC. <br />TRACT <br />C 1�.� I� �-� c�s �� �,�n�� <br />TENANTNAME CONTACTNAME PHONE <br />Sl9i-u-2 I �J(� �le�`ss yzS" <br />355•-t �Ga <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />yl �e� ��S �-.-- s �f � �e���(� gl ��Q. �P� 5� ��L�Pk <br />PI10NE <br />yZ�-��s- t �bo <br />PROPOSEU USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK �ESCRIPTION <br />Building Mechenical <br />PERM17 Com6ination � Plumb(ng <br />TYPE Demolillon Sign <br />Sprinkler <br />Addition HEATSOURCE <br />WORK � Allerntlon � Electrtc <br />IYPE New Ons <br />RepaidMatnt. Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />yy� S-'�yp [,L JZ �,Pc'�ttl.c�,,�l s/�j,� O� l� sc i� <br />NO. � TYPE OF FIXTURE OR ITEM <br />_ WATER CLOSET <br />_ BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK.& DISPOSAL <br />_ DISHWASHER <br />_ LAUNDRYTRAY <br />_ CLOTHES WASHER <br />_ URINAL <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />BACKFLOW PREVENTER <br />_ SINK (SERVICElBAR/MOP/ETC.) <br />OTHER <br />N0. � TYPE OF FIXTURE OR REM <br />A/l: — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAI FIREPLACE/STOVE <br />FIREPIACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THA � I HAVE REAO A�D EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTIiORITY TO VIOLATE OR CANCEL THF: 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 PPOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W�TH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />