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SITE ADDRESS <br />LOT N0. <br />:tf' <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAl( I.D. R <br />qZ.-oo i-oov�000Y <br />BLOCK I TRACT <br />ua i.�� /a�,.r�t�� ry 3w�►i- Cm 16y `l <br />P�RMIT M <br />i�° d <br />y��� <br />•„ � _ r�. <br />TENANTNAME I CONTACT AME PHONE <br />�Nl`� /.�ji lI lo-rG�S So/-.SLG/ <br />CONTRACTOR � � � ADDRESS ZIP CONTR.LICENSE� <br />PHONE <br />PROPOSEO USE OF BUILDING <br />rL� <br />Building echanic <br />PERMR B Combinetion Plumbing <br />7VPE Demolition Sign <br />Sprinkler (x ot heads) <br />CONTRACT PRICE OF WORK L.�,-U u� <br />Addition HEAT SOURCE <br />Alleralion (7 Electric <br />New r1-�c'*� <br />epeir/Maint. LJ OMer <br />CfTY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION n � <br />�%'VO'."��n l'2.-Q �OW I✓lCdt-�"�_ O�+S I K� <br />NO. I TYPE OF FIXTURE OR REM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 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 />� <br />NO. I T'PE OF flXTURE OR ITEM <br />A/C - AlHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER Rn.pb�— <br />RANGE HOOD l.ap�+-�� <br />WATERHEATER F�-�p�c.—�— <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN �C� <br />I HEREBY CERITIFY THAT I hIAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA�VS AND ORIDINACES GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEflFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACjORS LAW 18.C7 hCN' AND 296.200 WAC. <br />—/C"� <br />