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SITE ADDRESS <br />LOT NO. <br />TENANTNAME <br />:RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-88G7 <br />BLOCK <br />CONTRACTOR �` �/ i /��'T/ <br />`f" <br />PHONE <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF WORK <br />PARCEL TAX I.D. # <br />TRACT <br />CONTACT FOR PERMIT <br />ADDRESS <br />�Building j� Mechanical <br />Combination � } Plumbing <br />Demolition � Sign <br />Sprinkler <br />TYPE <br />PERMIT # <br />m n 30 �-�3c� <br />PHONE <br />ZIP CONTR. LICENSE # <br />Addition HEATSOURCE <br />AlleraGon Electric <br />New � Gas <br />RepaidMainL , Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />WORK DESCRIPTION � � �����' /�� D ^ — / <br />rl // (�2/!L�"� <br />�d'Yv <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 D!SPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />NO. I TYFE OF FIl(TURE UR ITEM <br />� <br />A/C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYE4 <br />RANGE HOOU <br />WATER HEATER <br />METAL FIREPLACElSTOVE <br />FIREPLACE INSERT <br />GAS FIREPIACE <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 \NORK INILL BE COMPLIE� WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION Or ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZf_0 BY THE <br />ON'NER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MPDE AND I COMPLY N/ITH THE STATE <br />CONTI2ACTORS LAW 18.27 RGW AND 296.200 WAC. <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />