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�ERMIT APPLICAT�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SRE ADDRESS � <br />/ <br />LEGA LOT N0. <br />DESC. <br />OWNER <br />oar.� .] �NK��S <br />TENANTNAME <br />COHTRACTOR <br />.SM �%l1 Cu�J'nt.�,�C77p n/ <br />PF10NE <br />(�h�zS�- 33707b� <br />PROPOSED USE OF BUILDIN6 <br />CONTRACT PRICE OF WORK <br />WORK DGSCRIP'itON <br />PARCEL TAX I.D. � <br />SLOCK TFUCT <br />ADDRESS aP <br />.�3-%P' F�n�e��h✓ E+��2FrT� � . 9� <br />ICONTACTNAME <br />ADDHESS f r �P <br />/d92'%- 2/— D/1. <br />F�. E�es�r, w,� �/xzoR <br />Building AAechanical <br />PeRM17 B Combination � Plumbing <br />TYPE D Demolkion Sfgn <br />U Spdnkler <br />IQC /��-�'YF' /J-a T w,t�T�_ I�k :r'I �2 <br />NO. I TYPE OF FlXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARlMOP/ETC.) <br />OTHER <br />� :� °4�00 <br />PHONE <br />CONTR. IJCEN8E • <br />C-�S�SMI <br />Adtlitlon <br />aureua, <br />New <br />RepeldMalnt. <br />HEATSOURCE <br />[� Elec6iC <br />g a� <br />Otlror <br />CRY OF EVERETT LOCAL SALES TA% CODE IS �106 <br />N0. � TYPE OF FlXTIiHE OR rtEM <br />A/C-A/H/UIDLINO UNITS <br />FORCED A�R SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RAN(3E HOOD <br />WATER HEATER <br />METAL FIREPLACFJSTOVE <br />FIREPLACE INSERT <br />CiAS FIRE''LACE <br />CiAS RANGE <br />QAS PIPINCi <br />EXHAUST FAN <br />I HEREBY CERITIFY � nAi I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNINO THIS TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFlED NERQN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE AUTHORI7V TO VIOLA7E OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW RE6ULATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PER�=Gr M THE WORK FOR NhiICH APPLICATIOIJ IS MADE AND I COMPLY WITH TNE STATE <br />CONTRACTORS L,SW 18.27 F3FW AND 29�,290 VYAC. <br />DEgIT & CREDIT CARDS ARE NOT ACCEP'TED <br />