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TENANT NAME <br />CONTRACTOR / <br />PNONE , ��.�L���'.J <br />PROPOSED USE OF BUIL�ING <br />PL�MIT APPLICATIG�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. p <br />BLOCK I TRACT <br />CONTACT NAME <br />) � A��RESS <br />'� ,��,��C%� <br />PERMIT R <br />TYPE D <br />U <br />Building � Meciianical <br />Combination Plumbing <br />Demolition Sign <br />Sprinkler <br />ZIP <br />PERMIT # <br />i� �Zo `� oo`� <br />PHONE <br />CONTR. LICENSE M <br />Addition HEAT SOURCE <br />WORK Alteration � Electric <br />TYPE New Gas <br />Repair/Flaint. Olher <br />CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TA7( CODE IS 3105 <br />WORK OESCRIPTION <br />NO. I nPE OF FIXTURE OR ITEM <br />WATcR CLOS`iT <br />�ATI�TUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER � <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />UHINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEiBAR/MOPlETC.) <br />OTHER <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FOFCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIRFPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CEFITIFY THAT I HAVE READ AND EXAh11NED TNIS APPLICATIO.'J AND KNOW THE SAME TO 6E TRUE AND CORAECT. ALL <br />PROVISIONS OF W6VS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED `NITH WHETHER SPECIFIED HEFEIN OA <br />NOT. THE GRANTING OF A PER611T OOES NOT PRESU�dE TO GIVE AUTHORIN TO VIOLATE OR CANCEL THG PROVISIGN OF ANY OTHER <br />STATE OR LOCAL LAW RGGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />O'NNEF OF TNIS PROPERN TO PEFFORM THE WORH FOR WHICH APPLICATION IS h1ADF AND I COMPLY WITH TF1E STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />