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SITE ADDRESS <br />�� L � <br />LEGA LOTNO. <br />PERMIT APPLICATICyN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK � TRACT <br />PARCEL TAX I.D. # <br />/ —l7-O� <br />O�/OI�QO � <br />PERMIT # <br />�s y��8 <br />TENANT NAME '� CONTACT FOR PERMIT rnvnc <br />� � �+��;7��E MF�� , .3�60) �9e-6�1 y <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE N <br />PHONE Z/�� S�/� —2j5 � � <br />�)UCl <br />PROPOSED USE OF BUILUING <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <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/BARIMOP/ETC.) <br />OTHER_ <br />Building <br />Combination <br />Demolition <br />Sprinkler <br />Mechanical <br />lumbing <br />Sign <br />NER, Ti <br />�dditlon <br />leratlon <br />New <br />RepaidMaint. <br />HEATSOURCE <br />�Electric <br />Gas <br />OMer <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />N0. �I TYPE OF FIXTURE OR ITEM <br />AIC—AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHO00 <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 EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEQ HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TNE <br />OWNER OF THIS PROP'eRTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RG�J AND 296.200 WAC. <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />