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SITE ADDRESS <br />LOT NO. <br />NAME <br />�tRMIT APPLICATI�N <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. # <br />BLOCK I TRACT <br />�i1�/� /�'� <br />I CONTACT FOR PERMIT <br />CONTRACTOR � � /1 /J/�� __ � . . ADORESS <br />iJ �/ iiv)w✓ <br />PHONE � �1/� � } � <br />PROPOSED USE OF BUILDING <br />s�R <br />CONTRACT PRICE OF WORK <br />Building Mechanical <br />PERMIT B Combination �Plumbing <br />TYPE g Demolilian 5ign <br />Sprinkler <br />WORK DESCRIPTION6�'j� � _ ` <br />- i,ozR_u l� <br />�� � � <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TR,4Y <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER��� <br />// I LLM wl�� <br />. —� <br />21P <br />PERMIT # <br />Z <br />�i� .�� P' 3 P b f° <br />�z-t� 2S9' - S/v � <br />PHONE <br />CONTR. LICENSE A <br />�ddiUon <br />Alteratlon <br />New <br />epalrlMaint. <br />HEATSOURCE <br />{7 Electric <br />B Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX COD� IS 3705 <br />�-Co/ r��, /� � <br />NO. <br />�u�7 �t o�-�-, <br />TYPE OF FIXTURE OR ITEM <br />A/C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE 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 VIOIATE 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 PERFO M THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RC � WAC. <br />��3i � 3 <br />8� CREDIT CARDS ARE NOT ACCEPTED <br />