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P�RMIT ARPLICATII�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-5810 - FAX 425-257-8857 <br />�l ') � �/'�/�'i ` �l� <br />SITE ADORESS � PARCFL TAX I.D. # � PERMIT u <br />LOT NO. I � BLOCK <br />DESC. <br />CONTRACTOR <br />i�HONE <br />PROPOSED USE OF BUILOING <br />��P�' �V /W, �J <br />CONTRACT PRICE OF WORK <br />1 FiACT <br />ICONTACTNAME <br />c�v�s L <br />ADDRESS <br />Building Mechanical <br />PERMIT Combination � Plum6ing <br />TYPE Demolition Sign <br />Sprinkler <br />WORK DESCRIPTION � <br />�%eU �.�-P/Lc��7�c�aYt.i <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />THTUB <br />/� LA TORY (WAS ASIN) <br />_� SHO R <br />_L KITCH �J SINK DISPOSAL <br />/ DISHWA$HE <br />� FLO DRAIN <br />BA KFLOW PF <br />_�' S K (SERVICE <br />ZIP <br />Addition <br />WOFK Alle��lion <br />TYPE New <br />Repair/Mainl. <br />�� <br />LICENSE <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />S�7',�ao fl�9 �'Sf'u cn o3Z <br />NO. � TYPE OF FU(TURE OR REM <br />_�, A/C—A/HANDUNG <br />_ FORCED AIR SY <br />EAT PUMP <br />_� IT HEAT S <br />_L CL HE RYER <br />EATER <br />• • <br />_�%�.7 //..' <br />�., i� i ...�/ _ . <br />. _- - •..-7 _ <br />i I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br />� PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS IYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />i NOT. THE GRANTING OF A PERMIT DOES NOT PhESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PPOVISIGN OF ANY O1HER <br />_ STATE OR LOCAL LAW REGUTATWG CONSTP.UCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE <br />, OWNER OF THIS PROPERTY TO PERFORM i HE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />� CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. /� <br />1 <br />