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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />LOT NO. I BLOCK <br />�1ili`C� �jitSll�[_� �.�-i��r <br />TENANTNAME <br />s�m�' <br />C`ONTRAC� �C�'�b ���` <br />L' �.`� i � � � <br />PHONE <br />`'�1`��'iU�i^ 1/,1/ <br />PROPOSED USE OF BUILDING <br />s � <br />CONTRACT PRICE OF WORK � � <br />I Pt�RCEL TAX I.D. # PERMIT # <br />r_., i (�, .� -DO i —C'�0� "OOC��f %%�lU3l � ' Dl� <br />� ,i ,_. <br />TRACT <br />ADDRESS ZIP PHONE <br />3i��`�C��Ib� �S'aol ��.�5-3�3�iia► _ <br />' CONTACTNAME ' PHONE <br />ADDRESS p 21P CONTR.LICENSEl1 <br />-�j I J �- cJ !.�'� � � p ,� �% I <br />Goi+ �it�_ "t1. �!1 S^-J� /-� L (. � — l�i // <br />Buildin� echanic <br />PERMIT R Combination Plumbing <br />TYPE D Demolition Siyn <br />U Sprinkler (et of heads) <br />WORK DESCRIPTION <br />�e��r.������1�•i+>r �x,>�r.� ,�s�d�-�.e_. <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILEf) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <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 />Addition <br />WORK teration <br />TYPE New <br />FepaidMaint. <br />HEATSOURCE <br />Electric <br />as <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />NO. � TYPE OF FIXTURE OR ITEM <br />� <br />�� <br />� <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 />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS HANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBV CERITIFY THAT I HAVE READ AND EXAh11NED THIS APPLICATION AND K�OW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM11E TO GIVE AUTh10RITY TO VIOLATE OR CANC[L THE PROVISION OF ANY OTHEF <br />STATE OR LOCAL LAW flEGULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AA1 AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAD[ AND I COMPLY WITH 7HE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />