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SITE ADDRESS <br /><; � <br />LEGA LOT NO. <br />DESC. <br />P`�F�MIT APPLICATI(���I <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />G ��'� <br />BLOCK � TRACT <br />PARCE!_ TAX I.D. # <br />/c-�l•C7 <br />PERMIT N <br />n1o7 <br />l = <br />TENANT NAME � CON'FACT FOR PERMIT PHONE <br />5���;��� �A�R�,� Hr�r,���v�c 125= 3�3- sS� 2 <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />Gv'k'ErT t���ur `wfti��',�.�� �/o � co/6� �� 9gsdl <br />PHONE <br />PROPO.�'iED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />� <br />WORK DESCRIPTION �JN %;�Cl� I �" / <br />PLUMBING <br />NQ. I TYPE O� FIXTURE OR ITEM <br />Building Mechanic <br />PERMIT R Combination Plumbing <br />TYPE ❑ Demolilion Sign <br />U Sprinkler <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SI�OWER <br />KITCHEN SINK & DISPOSAL <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 />OTHER <br />�Addllion <br />AU.�ration <br />Now <br />Repair/Mainl. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVEREIT LOCAL SALES TAX CODE IS 3705 <br />ri�uC/�-C_ ��Xr.f-��nc� ilFSlrl�ne-�- <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />_ UNIT HEATERS <br />� CLOTHES DRYER <br />� RANGEHOOD <br />� WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS FiANGE <br />� GAS PIPING <br />� EXHAUSTFAN <br />_ . OTHER <br />�� I HEREOY CFRITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COflRECT. A�L <br />PROVISIONS OF LAWS AND OHIDINACES GOVERNING TFiIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERtdIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLITE OR CANCEL THE PFOVISIOM OF ANY OTHER <br />�� STATE OR LOCAL LAW !'iEGUWTING CONSTRUCTION OR i HE P[RFOaMANCE OF CONSTRUCTION. THAT I Ah1 AUTHORI2ED BY THE <br />'�, OWNER OF THIS PRQPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />i CONTFACTORS LAW 78..7 RCW AND 296200 WAC. <br />o-- U 4 .2��� �7 <br />DEBIT & CREDIT CARD� ARE NOT ACCEPTED <br />