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PERMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />�l�m� <br />L�ri �Sl�.-tl�- :l-�a� <br />iENANTNAME <br />� Y✓"�' �� V�' I W � <br />CONiRACTOR � <br />�� <br />PHONE <br />PROPOSED USE OF BUILDING <br />n ��r c�v✓�-o <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />bev�� 1 rsl� <br />PARCEL TAX I.D. if <br />���9,� -�'.6�- <br />� ��'. <br />CONTACT FOR PERMIT <br />ADDRESS <br />PERMIT # <br />1 IS .UJ V�S'l � .3 <br />��Yn.F� G� l4 <br />Building DMechanical <br />PERMIT ��mb(natlon U Plumbing <br />TYPE emolition U Sign <br />Sprinkler _ <br />q 8�59 <br />Pt10NE <br />�''.'�i'%�� � � <br />ZIP CONTR. LICENSE N <br />BZCJr�Q� <br />Addidon HEATS��JRC <br />WORK B arerena, EI — <br />TYPE D New a9 <br />U RepaidMaint Other <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 9105 <br />exrs-I-i � �5�,,;.�J 1� ��+. �� lz.�slc�e�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <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 P ENTER <br />SINK (SERVI BAR/MOP/ETI <br />tJO.. � TYPE OF FI%TURE OR ITEM <br />A/C — A/HANDLING <br />FORCED AIR SYST <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYE <br />RANGE HOOD <br />WATER HEAT R <br />METAL FIRE CE <br />_I GAS <br />GAS <br />GAS <br />FAN <br />I HF_REBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFI�D HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION Or ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT � AM AUTHORIZED 'oY THE <br />�R OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLI TION IS MADE AND I COMPLY WITH THE STATE <br />/Y �;T �� �i,� ,AoD.�9���%.�, ��/�'��d � <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />