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SITE ADDRESS <br />LOT NO. <br />�nn <br />�ERMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />.- , � .. <br />BLOCK TRACT <br />ADDRE <br />�rG I Z�-ll-1 - �l �� <br />PARCEL TAX I.D. # <br />P.� SE.. E�re . <br />PERMIT # <br />Co3o r-�o <br />�3-I • �511� <br />TENANT NAME � I CONTACT FOR PERMIT PHONE <br />� `p �F�ee � �u��.e �u1' Lori �S L�2S�LIlB•23cC� <br />CONTRACTOR �e1 (1 ADDRESS ZIP CONTR.LICENSE# <br />�r <br />PHONE <br />•-.•• . • � ►': . . <br />� • . . � <br />� �• . . <br />� � � <br />. • �- <br />• • � ' ' • .�►��1� !�/Qd����0�! �.� �� Iqf..OST <br />`.:,� i�Gs� .,v J�.a�!_�a-.+i1`�T�`': ��`t'i'.:.:���.�' [ i��=L- <br />i�I ii'� - � <br />rjr.y�,•bl' �� s'��:►:�� <br />" ' �e ► <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 />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER , <br />��`� IJ /.t`� .F ,i J <br />�: -_::�,.,7,,/�5�� C__ <br />�Mechanical QQ�_ /jddition HEATSOURCE <br />Plumbing WORK �Alteralion I � Electric <br />Sign TYPE New > Gas <br />Repair/Mzint. Olher <br />• . •. � <br />;��1•����I LG1li7j�►�. .M�> iI_[.� ..� /) ��:�t=.� <br />�� �':It� a . � +�-r vr�-.i� - <br />'� f�l�l��.i/i�l/ i i nl• • e�. Q!� +A�t� �._ .:....,-.,1! <br />� � \�. ` � <br />� <br />NO. I TYPE OF F�XTURE 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 />FIREPLACE INSERT <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 AND COR4E�`. 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 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 PROPERTY TO PERFORM THE WORK FOR WH�CH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND �96.200 WAC. <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />