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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S7REET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />3� Z l �-o I�r �'/� � <br />LEGA LOTNO. BLOCK <br />DESC. <br />OWNER <br />Sl�r� C'S i D�lzS <br />TENANTNAME <br />CONTRACTOR <br />PHONE ���QJI� <br />PROPOSEU USE OF BUILDING <br />S /-/C.� <br />CONTRACT PflICE GF WORK <br />WORK DlESCRIPTION <br />�C� � ��T� <br />NO. � TYPE OF FIXTURE OP. REM <br />WATER CLOSET <br />BATHTUB <br />LAVATGFY (WASH BASIN) <br />SHOWER <br />KITCHFN SINK & :iISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />C�OTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SiNK (SERVICE/BAR/MOP/ETC.) <br />PARCEL TAX I.D. # <br />TRACT <br />CONTACTNAME <br />ADDRESS <br />Building Mechanica� <br />PERMI7 B Combinalion R Plumbing <br />TYPE D Demolition � Sign <br />U Sprinkier <br />�"a n� °c,r.�J'`.�`� <br />TYPE <br />IPERMIT N <br />Moi ia-o3� <br />7JP PHONE <br />'�=: v z� _,�_� -�✓%E'3 <br />PHONE <br />ZIP CONTR. LICENSE N <br />Addition <br />Alteration <br />New <br />FiepaidMaint. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />_� <br />A/G -A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOI'HES ORYER <br />RANGE HOpD <br />WATER HEATER <br />METAL FIREPIACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CeFITIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECI�. A;.L <br />PROVISIONS OF LAVJS AND ORIDINACES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERM�T DOES tJOT PRESUME TO GlVE AUTHORITY TO VIOL4TE OA CANCEL TI1E PROVISIO� � OF ANY OTHER <br />STATE OR LOCA ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br />OWNE PROP RTY TO PERFO THE WORK FOR WHICH APPLICATION IS MAOE AND � COMPLY WITH THE STATE <br />CO ACT S LqW 1 27 RCW AND 296.20 WAC. <br />\ �.— Q_�—,� / U7F3�0 � <br />