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F�II�i���:_�: <br />LOT <br />TENANTNAME <br />�PERMIT APPLICA`i dON <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. # <br />BLOCK I TRACT <br />CONTACT <br />PERMIT # <br />PHONE <br />_ � t�/,� � <)Rsn.) .vo,eDSi�caN `f2s- S�D•- ?%`z8 <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE N <br />PHONE <br />NaRo57h�r-t <br />PROPOSED USE OF BUILDING <br />5 F (Z <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />l�i �-c N Rp� X 3 S� <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOW ER <br />KITCHEN S�NK 8 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 />OTHER <br />BLilding 'Mechanical <br />PERMIT B Combination�lumbing <br />TYPE g Demolition Sign <br />Sprinkler <br />H <br />RAddition I HEATSOURCE <br />Alteratlon D Electric <br />BNew D Gas <br />RapairlMalnt. U Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO, � TYPE OF FIXTURE OR ITEM <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 />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 EXAMINE� 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 SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO G�VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT � 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 />CONTRA6TQRS LAW 1827 RCW AND 296.200 WAC. <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />