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P�RIVIIT APPLICATIUN <br />CITY OF EVERETT' PERMIT SERVECES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />i�� E�E�- /�.�, �.0 <br />DESC� LOT NO. I BLOCK TRqCT <br />PAAC[L TAX I.D. # <br />TENAN7 NAME I CONTACT NAME <br />� �v� �n�r�e�i�o.J,�. <br />CONTRACTOR 7 � I' 7� <br />�-'j0'E�-EI"�E-�C U�PAA�I ADDRESS I i7JOCi ,SE-.3C1TZi <br />PHONE c./ZS - ��I - � «� (�j�=LL'C-VlI E� W�� <br />� <br />rnvrv�t-U USE OF 9UILDING <br />CONTRACT PRICE OF WORK <br />Building lll��� Mechanical <br />PERMIT � Combination�j'j Piumbing <br />TYPE Demolition p Sign <br />SF � ��kler <br />WORK ESCRIPTION <br />�"��-hc-W�- -t�-�C-O_._ �Ul� Sv�i'I <br />�P T-a ����c�c� 5�:,��s <br />NO. I TYpE OF FIXTURE OR ITEM <br />__ rvn i ttt l;LVSET <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 (SEFVICE/BAR/MOP/ETC.) <br />_ OTHER_ <br />PERMIT # <br />PHONE <br />Z�P CONTq. LICENSE q <br />`r�'UaS �i21 ca- <br />Addition <br />Alleiation <br />New <br />Repair/Mainl. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />s�ts�,,,� � ,-�.a s�s� <br />NO. I TYpE OF FIXTURE OR ITEM <br />_ .v�-wnNNULINGUNITS <br />_ FORc;ED AIR SYSTEMS <br />_ HEAT PUMP <br />._ UNIT HEATERS <br />_ CLOTHES DRYER <br />_ RANGE HOUD <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 />_ �� <br />I HEREBY CERITIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISI�NS OF LqWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF q pERMIT �OES NOT PRESUME TO GIVE AUTHORITY TO VIOLPTE OR CANCEL THE PROVISION OF ANY OTHER <br />STA7E OR LOCAL LAW REGULATING CCNSTRUC710N OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNE�� OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY VJITH THE STATE <br />S'i�NTRACTOR lAW 78.27 RCW AND(�96.200 WAC. <br />�� <br />