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SITE ADDRESS <br />DESC. <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 TAX I.D. N <br />PERMIT N <br />Mol to - <br />.11M 3 <br />%PA+ Nl S <br />....Wr„a� <br />LO <br />q1D� <br />fs40-414s <br />64H S p.�� (�pt <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />6Ler-3 3E)-LEnck4 <br />6 <br />tio-zot-IS <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSEM <br />PHONE <br />PROPOSED USE OF BUILDING <br />PERMIT <br />Building <br />P Combination <br />al <br />Mech;bn, <br />Plum <br />WORK <br />Addition <br />Alteration <br />HEAT SOURCE <br />D_ Electric <br />TYPE <br />Demolition D Sign <br />TYPE <br />New <br />Gas <br />Sprinkler <br />Repsir/Maint. <br />j$, Other <br />CONTRACT PRICE OF WORK <br />OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />"UM UC5GRIPTION <br />1 NS'roY— 'lod Or (,ft5 pl pt NG <br />PLUMBING <br />OF FIXTURE OR REM <br />ME ANIC�IL <br />NO. TYPE OF FIXTURE OR ITEM <br />TER CLOSETA/C <br />THTUB <br />VATORY (WASH BASIN) <br />OWER <br />CHEN SINK & DISPOSAL 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 />_ <br />_ <br />_ <br />- A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOODWATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />INO.TYPE <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BF TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING 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 PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br />