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SITE ADDRESS <br />/ (�a� I�UL( <br />LEGALI LOT NO. <br />� � �!' -'i <br />PtRMlT APPLICATIC�N ;�1� 7�, <br />CITY OF EVERETT PERMIT SERVICES �`� �`q5 <br />3200 CEDAR STREE�T, EVERETT, WA 98201 <br />425-257-8810 -� FAX 425-257-8857 i � <br />� �,�=-��� <br />�.s� <br />BLOCK <br />PARCEL TAX I.D. # <br />O �J �� (9 0 �/ C <br />�Y/C <br />/i! c� � iJ (� �f <br />i PERhIIT # <br />�/w•-f� � N N2NL Ni2ii�i,n1� <br />21p PHONE <br />S'�J 6 '/� S"- 34,� -/Sc 2 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />� ���o r��1����,�� y.�s- 3���-�s3�-- <br />CONTRACTOR � , _ ADDRESS • • ZIP CONYR. LICENSE # . <br />S9-�'� �. %� �, l�ox �i)G iz.cJ�r��<�T i�P"��3 P��NycfoioJ�� <br />PHONE . <br />PROPOSED USE OF BUILDING <br />�Y'� � �2 �' /`��/L <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />�, BATHTUB <br />�y 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 />SI�K (SERVICEIBAR/MOPIETC.) <br />OTHER <br />Bwlding Mechanical <br />PERMIT ombinalion R Plumbing <br />TYPE Demalition � Sign <br />�prinkler <br />Atltlition <br />Alteralion <br />ew <br />RepaidMaint. <br />HEATSOURCE <br />Elecsc <br />as <br />Other <br />CITY OP EVERETT LOCAL SALES TAX COOE IS 9105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CIOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS�ONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUIv1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STAT[ OR LOCAL LAW RE TING CONSTRUCTION OR THE PERFORM1IANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROP,E'2r TY TO ORA1 THE WORK FOR WHICH APPLICATION IS MADE AND I COM1IPLY WITH THE STATE <br />rnrha�C7[1RS 1 ANY7827 RCW 29fi?00 WAC. <br />DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />�� <br />