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� <br />� <br />SITE ADDRESS <br />LOT NO. <br />P�RMIT APPLICATII�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TAX I.D.1 <br />�N-�cz-A �Rp <br />TENANTNAME CONTACTNAME PHONE <br />�c.�� iJlcx���T�►.J �� �1.� �1.4-�1 � 4zS� 349 - zz'I y <br />CONTRACTOR ADDRESS nP CONTR.LICEN3E• <br />'C'vJ"L h�1�4fcr.r.cA l� 2�3 3`$ � Eitc� �-E.\TT '�'t TwTN+El�dl K��1 <br />PHONE r� 5"�{'Xb"�I3�J '����G�'% I��o[i�� i�t11� l��Z) <br />-cL <br />PROPOSED USE OF BUILDIN3 <br />Building <br />PERMIT B Combinatlon <br />TYPE D Defiolltlon <br />U Sprinkler <br />CONTRACT PRICE OF WORK � �1 � <br />WORK DESCRIPTION <br />Plumbing <br />Sign <br />�Addition I XEATSOURCE <br />Altarelbn �El�ctric <br />New Osa <br />RapeidAleint. OMar <br />CITV OF EVERETT LOCAL SALES TAX CODE 18 J706 <br />`�� �- sw�u.11 1-��'Ptc 11+�JL (�{, UN�'� F%cRTe�RS <br />PLUMBING <br />NO. I TYPE OF FlXTURE OR 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 />BACKF�OW PREVENTER <br />SINK (SERVICE/8AR/MOP/ETC.) <br />_ OTHER <br />¢ ��..5 ���;,� <br />NO. � TYPE Of Fl%TURE OR ITEM <br />A/C — A/HANDLINd UNITS <br />FORCED 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 FIREPLACE <br />GAS RANl3E <br />GAS PIPING <br />EXHAUST FAN <br />07HER <br />I HEREBY CERITIFY 7HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOJY THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GR 'NT G OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR L�A LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT ! AM AUTHORIZED BV TNE <br />OWNEii OF I ROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC� W 18.27 RCW AND 298200 WAC. , , <br />