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SITE ADDRESS <br />�A�D <br />LOT N0. <br />TENANTNAME <br />ERMIT APPLICAT�N <br />CITY OF EVERETT P�RMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />CONTRACTOR <br />Que l �ry ,�f.ezlT//r�G <br />PHONE <br />��l'7�3 G��� <br />PROPOSED USE OF BUILDING <br />S� � <br />BLOCK <br />CONTRACT PRICE OF WORK G 5'DO <br />WORK DESCRIPTION <br />PARCEL TA7( I.D. # <br />TRACT <br />ICONTAC7 FOR PERMIT <br />ADDRESS <br />i9Z �C'si6sad Ro� �d, <br />Building echanical <br />PERMIT R Combinatfon Plumbfng <br />TYPE D DemoliUon Sign <br />U Sprinkler <br />,P6��•fCeC i'`d.P�G�/cL'' <br />NO. I TYPE OF FIXTURE OR ITE61 <br />WATER CLOSET (TOILET) <br />BATHTUB <br />IAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNORY TRAY <br />CLOTHES WASHER <br />URINAL <br />DFtINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PERMIT # <br />M�3d9-d l 7, <br />PHON� <br />PHONE <br />ZIP CONTR LICENSE 1� <br />qP2oY �w�l�.v.K-2a�4� <br />TYPE <br />Addltion <br />teratlon <br />New <br />RepaidMaint <br />HEATSOURCE <br />�Elettric <br />Ga5 <br />Othur <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3103 <br />NO. . � 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 />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND E.:AMINED 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 W�TH 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 Ot2 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE <br />OWN=�R OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />COP�TRACTORS LAW 18.27 R�W AND Q96.200 WAC. <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />