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SITE ADDRESS <br />39i1 � <br />LEGA LOT NO. <br />DESC. <br />TENANT <br />��ERMIT APPLICAI� JN <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. fl � <br />i <br />BLOCK tRACT <br />ADDRESS ZIP PNONE <br />�.,.� 3 9/� ��� .�� 9�a c i 2 s <br />� <br />I CONTACTNAME PHONE <br />CONTRACTOR <br />,iG(ii'iJ-� <br />PHONE <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />ADDRESS <br />Building Mechanical <br />VERMIT B Combination R Plumbing <br />TYPE Demolitian � Sign <br />B Sprinkler <br />WORK DESCRIPTION <br />a,oQrJ� a �� <br />•, NO. I TYPE OF flXTURE OH REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />TN <br />�D <br />LP CONTR. LICENSE N <br />Addition <br />Alleration <br />New <br />RepaidMr.int. <br />NEATSOURCE <br />n Electric <br />B Ges <br />omar <br />CITY OF EVERETT IOCAL SAI.ES TAX CODE IS 910b <br />N0. I TYPE OF FlXTURE OR tTEM <br />A/C — A/HANDLING UNITS <br />FOFiCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />i HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICAT�ON AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETFiER SPECIPIED 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 LAW AEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />-�i"or <br />e�e '/�, <br />