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SITE <br />lOT NO. <br />TENANT NAME <br />P�RMIT APPLICATI(�nl <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-25 i -8857 <br />PARCEL TAX I.D. # <br />� ��7 �� <br />BLOCK TRACT <br />CONTACT FOR PERMIT <br />���� P� <br />PERMIT # <br />ko3Q i <br />PHONE <br />ZO�• 7b2 �I�l SO <br />TC�ONTRACTOR ' ^7� A(O+DRE-SIS'1 ZIP CONTR.LICENSEfF <br />1�li S ~ 1 1 i- r�" ` I� � �l� J L-1J�.�IL� r� s�c 4� ..Sn�-� rrr � � a2� <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION n���i <br />�� <br />��.2 �.�1 �L`-`I�iafv'C� <br />NO. � TYPE OF FIXTURE OR ITEM <br />'vVA?ER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOW ER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />OTHER <br />Building <br />Combination <br />molition <br />Sprinkler <br />BMechanical <br />Plumbing <br />p Sign <br />i�on <br />FUteration <br />r�eW <br />RepairlMaint. <br />HEATSOURCE <br />�ElecUic <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�� ��Sil� �!�`L�?�� C��1.� ��(�iClk� F�'f�.� <br />� <br />I (1'I�L�N�= (Yh,�%1 <br />NO.. I TYFE OF FIXTURE OR ITEM <br />A1C—AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPIACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND C�RRECT. AlL <br />PRf`/1SION5 OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPE��IFIED h�EREIN OR <br />NOI�. THF. GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ON 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 ROP RTY TO PERFORM THE WORK FOR WHICH APPLICATI N IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS W 7 27 RCW AND 296.200 WAC. <br />, � '�'/�n u3 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />