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SITE ADDRESS <br />�i3o � <br />LEGA LOT N0. <br />MwlG lµ�. <br />� cRMIT APPLICAT�.�N <br />CITY OF EVERETT PERMIT SERVICES <br />3�00 CEDAR STREET, EVEFETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 . <br />PARCEL TAX I.D. S <br />D(d�'15 280�13-003-4L3�0o <br />TRACT <br />zaesit -ee4- <br />�70� r�w S��Sf• S�abt�c w�4 <br />- o0 <br />R�IoZ <br />PERMIT R <br />yzs• 4�a• ta3z <br />TENANTNAME CONTACTFORPERMIT PHONE <br />���� rc�.TM sEpv. � vux-� ��p� -�uru�u-vF.��b�u 4�s. 6ro�b7o� <br />CONTRAC O R AODRESS ZIP CONTR. LICENSE k <br />��V • <br />PHONE <br />PROPOSED USE OF BUILDII:G <br />� .. <br />Building �'iechanical <br />PERMIT Combination Plumbing <br />TYPE Demolition �ign <br />Sprinkier <br />CONTRACT PRICE OF WORK �i,Q � b�Q <br />WORKOESCRIPTION M�Np� q61vlOGl1'tDU� NEW <br />�t�YION,S� R�-l'T'fG5 <br />NO. � TYPE OF FIXTURE OR RE�d <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 />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PfiEVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />Addition I HEATSouHGe <br />WORK Iteration � Electric <br />TYPE New Gas <br />Rep¢ir/Maint. Other <br />CITY :1F EVEREfT LOCAL SALES TAX CODE IS 3105 <br />'t J. <br />N0. I TYPE OF FlXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <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 REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF I1+WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />DJOT. THE GRHNTING OF A PEfiMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PROVISION OF ANY OTHER <br />STATE OR LOCAL f.AW REGULATING CONSTRUCT�ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFlK FOR WHICH APPLICATION IS MADE AND I COIdPLY WITH THE STATE <br />CONTRACTpR LAW 7827 RCW AND 296.200 WAC. <br />1 �„ - - - -- � , aa C�� ZO�� <br />��L <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />