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SRE ADDRESS <br />LOT NO. <br />PERMfT APPLICATION <br />CITY OF EVERETT PERMIT SERVtCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />: i. <br />PARCEL TAX I.D. / <br />PERMIT # <br />TENANTNAME CONTACTFOR PERMIT PHONE <br />� ,1..� �� �°as_�s9- y9i� <br />CO CTOR ADDRESS ZIP CONTR.4CENSER <br />w,^�—.� i0f <br />PHONE ���� ��D�� C/ � <br />yAs-as9-s�9i� �� � s�aos DE�EN/fAo/6K,� <br />PRC?OSED USE OF BUILDING <br />PERMR <br />TYPE <br />CONTRAC7 PRICE OF WORK <br />�BUilding eChanlcal Addilion HEATSOURCE <br />Combination Plumbing WORK teration � Electric <br />Demolitian Sign 7YaE �ew Gas <br />U Sprinkler U RepairlMainL Olher <br />CfTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION � <br />� � �`- � <br />NO. � TYPE OF FIl(TURE OR i�EM <br />WATER CLJSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCFIEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CIOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER <br />NO. I TYPE OF Fp(TURE OR (TEM <br />A/C —A.4IANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACJSTOVE <br />FIREPIACE 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 CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS 7YPE 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 C/1NCEL THE PROVISIO�! OF ANY OTHER <br />STATE OR LOCAL LAW REGUUITING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TH�S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANO I COMPLY WRH THE STATE <br />CONTRACTORS IAW 78.?J�RCW AND 296200 WAC. <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />