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wERMIT APPLICAT�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. S <br />N0. I BLOCK � TRACT <br />"�am,i S �n1�,u �'��7 � <br />TENANT NAME CONTACT FOR PERMIT <br />�N�� 'CU a �u�rn� a5 <br />CO C�A1 i�1C�`�11.I �� I�vV IA��V�...IY 1�. � 1"1 �. <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF WORK <br />BBuilding <br />Combination <br />Demolition <br />Sprinkler <br />WORK DESCRIPTION <br />Ins�c��1 woc�a s-�o� <br />NO. 1 TYPE OF FlXTURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFJBAR/MOP/ETC.) <br />OTHER__ <br />RMechanicai <br />Plumbing <br />D s�y� <br />IPERMIT M <br />m 03O'{—G f �i <br />ZIP PFiONE <br />a �e�- 4 �a� <br />PHONE <br />ZIP CONTR. LICENSE M <br />€N��'��11llvDN7 <br />Addition <br />WORK Alteretlon <br />TYPE New <br />Repair/Maint. <br />HEATSOURCE <br />Electric <br />Ges <br />Other <br />CITY OF EVERETT LOCAL SALESi TAX CODE IS 3105 <br />NO. � TYPE OF fll(TURE OR REM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEt�AS <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 RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />°1"� � _ ��— <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND OflIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUtATING CONSTRUCTION OR THE PEflFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOP.K FOR WHICH APPIICATICN IS MADE AND I COMPLY WITH THE STATE <br />C�LjTRPCTORS LAW 18.27�ICW AND �96.200 WAC. .� _ <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />