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� <br />SITE ADORESS <br />LOT NO. <br />DESC <br />PC .�MIT APPLICATIC J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />CONTRACTOR <br />PHONE L��/`�— �J <br />PROPOSEO U�E OF BUIL�ING <br />PEflM1T <br />C� :� r� (.(� TYPE <br />J <br />CONTRACT PRICE OF WOPK (��,` <br />WORK DESCRIPTION <br />� <br />7 ,-, ���� <br />� <br />PARCEL TAX I.D. # <br />� C-C7 ��� / � C <br />TRACT <br />ICONTACTNAME <br />ADDRESS <br />Building � Mechanical <br />Cornbinalion Plumbing <br />Demolition Sign <br />Sprinkler <br />•(Gt,rl, � -L� �� � doa,#,,.-�,-- <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASINj <br />_ SHOWEFi <br />_ KITCHEN SINK G DISPOSAL � <br />=DISHWASHER / <br />LFlUP�DRY TRAY <br />CLOTHES WASHER <br />_ URINAL <br />DRINKING POUNTAIN <br />FLOOR DFAIN � <br />BACKFLOW PREVENTER <br />_ SMK (SERVICE/BAR/MOP�E'.'C.) <br />OTHER <br />GC`i % �J <br />J:(U�1� <br />d <br />,� A <br />ZIP CONTF. LICENSE q <br />Addition I HEAT SOURCE <br />WORK ��Alteralion (� Electric <br />TYPE New � Gas <br />Repair/MainL Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />N0. I TYPE OF FIXTURE OR JTEM <br />A/C — A/HANDLING UNITS <br />FORCE� AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHO00 <br />WATER HEATER j <br />METAL FIREPL9CE/STOVE <br />FIREPLACEIrySERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER _ <br />I HEREBY CERIiIFY THAT I HAVE READ AN� EXAMINED THIS APPLICATION AND KNO'.V THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L.1W5 AND ORIDINACES GOVER�VING THIS iYPE OF WOqK WILL BE COMPLIED WITH WHE7HER SPECIFIED HEREIN Oq <br />NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GNE AUTHORITY TO VIOLATE UR CANCEL THE PROVISION OF ANY OTHER <br />STATE ICCAL LAW REGULATING CONSTRUCTION OR THE PERFP'1h1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER F THIS PROPE��fq PERFORM THE WORK FOR WHICH .�PPLICATION IS MADE AP1D I COMPLY WITH THE STATE <br />CONTFjI� T�RS L�CV 18. 7�v,j AND 296200 WAC. <br />� �� <br />