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P�RMIT APPLICATIO`N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SI'E ADDRESS <br />(��o� SC- �2r m,a�.2 a�1-y <br />LOT NO. <br />l�e�oiir Sv.. O�ee,�aGe.�E� <br />TENANTNAME <br />SI's�/�gR� � LLyA��•.t�� Cl,� <br />CONTRACTOR <br />/�pgitil5o.�., %��.n 6 ./ti.c. <br />PHONE �3�al�J?�-��GG2 <br />PROPOSED USE OF BUILDING <br />�y7 n.�yle <br />CONTRACT PRICE OF \NORK <br />WORK DESCRIPTION <br />�.� <br />PARCEL TAX I.D. # <br />TRACT <br />CONTACT FOR PEPMIT <br />ADDRESS <br />PERMIT # <br />PO�ioS— <br />PHONE <br />ZIp CONTR.LICEIVSE# <br />i�J�3tJ /2'f!7/ -4✓e /'�E �r7.�S/N,/�.XZiZ�Z <br />•¢�e�.�-c..r,�,v c•-,4 gd'7z3 <br />Building Mechanical <br />PERMI7 R Combination �Plumbing <br />TYPE D Demolition Sign <br />U Sprinkler <br />i / Si1'L <br />r�.e 3 s �..acs <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SIWK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />�_ SINK (SERVICEIBAR/MOP/ETC.) <br />OTHER <br />Addition <br />Alleration <br />New <br />RepairlMaint. <br />HEATSOURCE <br />�Electric <br />Gas <br />omer <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. .� TYPE OF FIXTURE OR ITEM <br />AIC—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />R4NGEHOOD <br />WATER HEATER <br />METAL FIREr'LACE/STOVE <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 HEREIPJ OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLI+TE UR 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 APPLICAT�ON IS MADE AND � COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />