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SITE ADDRESS <br />00 <br />LEGA LOT NO. <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEUAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 4?.6-257-8857 <br />BLOCK I TRACT <br />PAkCEL TAX I.D. # <br />/O-Di••0,-�'j <br />PERMIT # <br />MO>/C,� CCl <br />�/�/ %�ZCC�YL P �Q ��a � PHONE <br />TENANT NAME i CUNTACT FOR PERMIT <br />� ✓.ZR' LOAT) iV C.� � <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />PHONE <br />PROPOSED USE OF BUILOING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <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 />Building echanical <br />PERMI7 Combination Plumbing <br />7YPe Demalition Sign <br />Sprinkler <br />Addition <br />Alteration <br />New <br />Repair/Maint. <br />HEATSOURCE <br />Electnc <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. I TYPE OF FIXNRE OR ITEM <br />A/C — A/HANDLING UNITS <br />hORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIR�PLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE 4EAD AND EXAAIWED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF WWS AND ORIC.NACES GOVERNID�G THIS Tl'PE OF IVORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERh11T DOES NOT PRESU�IE TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROP�ftTY TO PERFORM Tt1E CJbRK FOR WHICH APPUCATION IS MADE AND I COMPLY WITH THE STATE <br />CONTF.ACTORS LA1N 1827_RC4`AND 2°Si.?� INAC. <br />_i "-� � / i �✓� i �f%� � �� _ <br />�EBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />