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SITE ADDRESS <br />� SIS <br />LEGA LOT NO. <br />PERMIT APPLICATI <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SC- ��z�rr'M�x.� w`� <br />BLOCK TRACT <br />PARCEL TAX I.D. # <br />13F�,T'� �(t�s�� 515 � EvE2�rr Me�i. WY <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />(Z,�a � R-£.5 H 3a ti�`'��-A i.�hS�Z 2 o t� --1(0 2- 2 3 t 4 <br />CONTRACTOR ADDRESS <br />1�� GoN S\ Gr+ S`t S� C-�`^S (p (� O(e <br />PHONE ,Z O� --� L 2 ' 2 31 y <br />ZIP CONTR. LICENSE # <br />U RS U�-a P!, S � b� O g <br />NC-pnsSS � U L-�y t�\U <br />PROPOSED USE OF BUILDING I TMPE�T B Sprinkleo`n n�q S 9� bing al ITMPEK � Repair/Maint I HEAT S� hRCC <br />n <br />H <br />LJ <br />CONTRACT PRICE OF WORK �'z '� �`jp "— CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORKDESCRIPTION (�5�� -�,yo SiTg• '30�� Q�� rQ�Sr� Cfi-aniti�E�- <br />L ETG�S <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <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 (SERVICE/BAR/MOPIETC.) <br />OTHER <br />N0. I TYPE OF FI%TURE OR ITEM <br />A/C - A/HAN�LING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY 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 WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANYING OF A PERMIT DOES NOT PRESUME TO G:VE 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 P�OPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND i COMFLY WITH THE STATE <br />CON'i RACTOR� IJ:W 18.27 RCW AND 296.200 WAC. <br />�r,.� r^ eA Q�.a.ob C� /� /o�r <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />��L <br />