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SITE ADDRESS <br />LOT N0. <br />� ERMIT APPLICAT�JN <br />CITY OF= EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi', WA 98201 <br />425-257-�810 - FAX 425-257-8857 <br />'�ALc. <br />BLOCK � I TRACT <br />PARCEL TAX I.D. # <br />x <br />DESC.r I I <br />OWNER ADDRESS ZIP ��`O�y� � 8 V O <br />�� �3���rc��.�..,���- a9� ��c, �r��� ST� Z�o s�� ,�� 9���Z � <br />TENANTNAME I CONTACTNAME PHONE <br />CONTRACTOR (�"�_ _ <br />!�i% ��/ <br />PHONE <br />N v -� � (��=` <br />PROPOSED USE OF BUILDING <br />CONTRACT PflICE OF WORK <br />� i� <br />WORK DESCRIPTION <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />1_ VATORY (WASH BASIN) <br />S WER <br />� KITC N SINK & DISPOSAL <br />_ DISHV�'7�SHER <br />CLOTHES SHER <br />URINAL <br />DRINKING FOU TAIN <br />1_ FLOOR DRAIN <br />BACKFLOW PREVE <br />/ SINK (SERVICE/BAR/� <br />� � �i��. t (, /��i �► <br />�G I/�' ,v" `�"RES�i1rSi n , <br />�/ u.ui <br />�r 733" <br />GZIP CONTR. LICENSE q <br />��� �O � ��� <br />Building Mechanical <br />PERMIT B Combination � Plumbing <br />TYPE D Demolition Sign <br />U Sprinkler <br />q <br />�d <br />Addition <br />WORK Alleration <br />TYPE New <br />RepaidMaint. <br />HEATSOURCE <br />Electric <br />Gas <br />Olher <br />CITY OF EVEREI? LOCAL SALES TAX CA�E IS 3105 <br />NO. I NPE 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 FIREPLP.CE/STOVE <br />FIREPLACE INSERT <br />S FIREPLACE <br />GAS <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE A� CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVE�i IING THIS TYPE OF WORK WILL BE COMPLIED VJITH WHEfHER S ECIFIED HEAEIIV OR <br />NOT. THE GRANTING Of A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CAtJCEL THE PiiOVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORP+IANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY THE <br />OWNE�R QF THIS PROPEPTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONXRAOTORS LAW 1827 FCW AND 296.200 WAC. � � <br />� <br />3 /i <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />