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P�RMIT APPLICATIC�'�V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE"f?, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />' � `3c G�'OC-l^ ��T -�' �' / Z L•! �/ D e N ��I � s <br />SITE,ADDRESS PARCEL TAX I.D. # PERMi7 s <br />_ nss �,� � �, S � -� - �� ��o -o o� <br />LOT N0. I BLOCK I TRACT <br />DESC. <br />��� <br />TENANT NAME <br />NAME <br />�s� � <br />PHONE <br />CONTRACTOR qD�RESS ZIP CONTR. LICENSE 8 <br />/,�l�-v�s �1°urcF���� 35/i/ �2o�'t�R �w�' ���� 5'�'�0 � <br />PHONE <br />— - vJ/�-veSs P/�-�`"� �� <br />PpOPOSED USE OF BUILDING I Builud;g �) Mechanical .crn� Addition HEAT SGURCE <br />PERMIT R Combinaton ��'rj Plumbing WORK dQ Alteration � Elec:ric <br />TYPE Demolition �[} Sign l'`!PE R New Gas <br />B Sprinkler LJ RepaidMainL Other <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTIOt� <br />NO. I TYPE OF FIXTURE OR ITEM <br />WA7Efl CLOSET <br />BATIiTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHEF <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SEFVICE/BAR/MOP/ETC.) <br />CITY OF EVEREff LOCAL SALES TAX CO�E IS 3105 <br />NO. � TYPE OF FIXTURE OR ITEM <br />A!C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATEFiS <br />CIOTHES DRYER <br />RANGEHOOD <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 CGRITIFY'HAT I HAVE READ AND EXAPAINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L4WS AND OqIDINACES GOVERNING THIS TYPE OF WOFK WILL BE COMPL:cD WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PPESUME TO GIVE AUTHOR�TY TO VIOWTE OR CANCEL THE PROVISION OF ANY OTHEFi <br />STATE OF LOC,�L LAW REGULATING CONSTRUCTION OR THE PEFFORMANCE GF CONSTRUCTION. THAT 1 AM AUTHORI2ED BV THE <br />OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.2z RCW AND 296200 WAC. <br />/c��%D—DL_ <br />