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� <br />� <br />SITE ADDRESS /I � <br />G'V / <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />TENANTNAME <br />CONTRACTOR <br />PHONE <br />PROPOSE� USE OF BUILDING <br />CONiRACT PRICE OF WORK <br />WORK DESCRI ION <br />� �� <br />P�RMIT A►PPLICATI� N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - ,'-AX 425-257-8857 <br />�PARCEL TAX I.D. # <br />i <br />BLOCK TRACT <br />ADDRESS <br />CONTACTNAME <br />� � .l r' �ir <br />A�DRESS <br />PERMIT <br />TYPE <br />�%/ / � � <br />�� <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TFAY <br />CLOTHES WASHER <br />UR�NAL <br />DRINK�NG FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFJBAR/MOPG£l <br />�Building D Mechanical <br />Combinalion B Plumbing <br />Demolition Sign <br />Sprinkler <br />'V l � <br />PHONE <br />LP CONTR. LICENSE M <br />n Addition HEATSOUFCE <br />�_� Alteralion Electric <br />H New 3as <br />�J Repair/Maint. Other <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Cd12f'LJ <br />N0. � TYPE OF FIXTURE OR REM <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 />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAki'NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PROVISIONS OF LAWS PND ORIDINACES GOVERPII�G THIS TYPE OF WCRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEFlMIT OOES NOT PRESUME TO GIVE AUTHCRITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMP:VCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS P70PERTY TO PERFORM i HE WORK P^uF WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONyFACTOFjfr.9�1J 1827 RCW AND 296.200 WAC. <br />