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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />v Er' AL �/ - I I iYl U5o'1Ci 3 % <br />NO. BLOCK <br />DESC. <br />EOAPT _ C, <br />TENANT NAME <br />TRACT <br />CONTACT FOR PERMIT <br />PHONE <br />CONTRACTOR NUROST/lG'Fi ADDRESS - ZIP CONTR. LICENSE # <br />s - <br />Gzl/(v <br />PHONE f-1647-1A%-/a <br />Q 13!:��� -rAX, MSv0 lvA 902.�0 <br />4/z3 S - ez.9 f�Jo�'QSI�A97S1 Chi <br />PROPOSED USE OF BUILDING NBuilding chanical fAddition HEA7 OURCE <br />PERMIT Combination�,,PM�e <br />umbing WORKIteration .Fo(3 �Plectnc <br />TYPE Demolitionign TYPEGas <br />Sprinkler epair/Maim. Other <br />CONTRACT PRICE OF <br />WORK DESCRIPTION <br />CITY OF E JERETT LOCAL SALES TAX CODE IS 510� <br />Fob' L%KE <br />U N 1'7— <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINY. & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOJNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER _ <br />__ <br />__ <br />A/C — A/HANDLING UNITS <br />ORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />I HEREBY CFRITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS. TYPE OF NORK 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 PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND �296,200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />