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SITE <br />a�ro <br />�-ERMIT APPLICATivN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8010 - FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />C� So �c�v o <br />TRACT �` �z <br />1 i�U �I�h►�� }-4.�__.. � � � � <br />TENANT NAME <br />CO RACTOR <br />�1�5 C������ <br />PHONE �-1{� ��� <br />/.�7 <br />PROPO'�SED _USE OF BUILDING <br />���J, <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />CO ACT FOR PERMIT <br />.� <br />�-��r :��1��5 <br />NO. I TYPE OF FlXTURE OR ITEM <br />! WATER CLOSET <br />I BATHTUB <br />� LAVATORY (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />� CLOTHES WASHER <br />URINAL <br />DRINKiNG FOUNTAIN <br />FLOON DRAIN <br />_ BACKFLOW FREVENTER <br />S!NK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />PERMIT A <br />coso�!- <br />a�- ����0 <br />PHO/N,E/J-� <br />"�-�2� a�' �t`f'"J � <br />Building Mechanical <br />PERMiT Combinalion � Plumbing <br />TYPE Demolition Sign <br />Sprinkler <br />¢�-),'� I ZIPTMACS �L� � I S �i.� <br />LV µ�y <br />Addition <br />WORK Alteration <br />TYPE New <br />Repair/Maint. <br />HEATSOURCE <br />e�ectric <br />Gas <br />Other <br />CITY OF EVEREff LOCAL SALES TAX CODE IS 3105 <br />e <br />NO. � TYPE OF FIXTURE OR ITEM <br />A!C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />� EXHAU^uTFAN <br />OTHER <br />� HEREBV CERITIFY THAT I HAVE READ AhD EXAMINED THIS APPLICA'i ION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVEANING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PER(dIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS I(1��7 RCW AND 296.20C WAC. , , <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />