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SITE ADDRESS <br />LOT N0. <br />DESC. <br />P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�y��P_B77 <br />�� y' ��v ! <br />BLOCK TRACT <br />PARCEL TAX I.D. # <br />�L/?«l � �P. co5s 3�li %fi7�� fhl� G✓�-��? � l ��5-�'9 - �oSo <br />TENANT NAME � CONTACT FOR PERMIT PHONE <br />CONTRACTOR D�N�� <br />PHONE <br />PROPOSED USE OF BUILDING <br />��'-,.,- >D�IJf�- <br />CONTRACT PRICE OF WORK <br />ADDRESS <br />Building Mechanical <br />PERMIT R Combination Plumbing <br />TYPE D Demolition .`'iign <br />U Sprinkler <br />ZIP CONTR. LICENSE # <br />�Addition <br />Alleration <br />New <br />Repair/Maint. <br />HEATSOURCE <br />D Electnc <br />i�� Gas <br />U omer <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />WORK DESCRIPTION <br />f�DD � �i�-�/�Lfl�-�� � �KT�:A[D Cy�s �iP� Tv LocalTio�% <br />_!. <br />NO. � IYPE OF FIXTURE OR ITEM <br />::'ATER 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 />NO. I TVPE OF FIXTURE OR ITEM <br />A/C—A/HANDLING 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 />EXHAUSTFAN <br />OTHER <br />I HEREBY CERIT:FY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L�.WS AND ORIDINACES GOVERNING THIS T1'PE 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 ?�OVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRI:CTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THe 4VORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 7827 RCW AND 296.2001NAC. <br />����.� `���>>� � a3 -a � <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />