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ll <br />;,ITE <br />F�RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />LOT NO. I BLOCK <br />C H/a � i_C 5 :T'oa l N��`�� ^�� <br />TENANTNAME <br />CONTRACTOR � <br />C, Vv� �'1V�0 �v�j <br />PHONE <br />Na�s �72 - N 38. <br />PROPOSED USE OF BUILDING <br />sr=� <br />CONTRACT PRICE OF WORK <br />YlORK DESCRIPTION <br />� .��s�\\ <br />PARCEL TAX I.D. # <br />TRACT <br />PERMIT # <br />/�'10 � � <br />27i5 �ain��ER avr.. (BzOI ks3`I- <br />CONTACT FOR PERMIT PHONE <br />ADDRESS ZIP CONTR. LICENSE # <br />��-L�S (3¢oAAu�O� tiuKiz,�t� �' pmN�Lf�='� <br />� �._ oR'^r:5 aeaot cs�s� <br />Building Me� tianical <br />PERMIT � Combinalion � Plumbing <br />7YPE Demolition Sign <br />Sprinkler <br />Y • <br />Addition HEATSOURCE <br />WORK B Alteralion �Electric <br />TYPE g New Gas <br />Repair/Maint. . Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />�,�� �- � � � ���bb; r� t� -���� <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WA5H BASIN) <br />SHOWER <br />KITCHEN SINK & 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 />OTHER <br />NO. I 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 />RANGE HOOD <br />� � WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RAN ,E <br />� GAS PiPIiVG <br />_ EXHAUSTFAN <br />_ OTHER <br />I HEREBV CERITIFV THAT I HAVE READ AND E.�AAIINED THIS APPLICATION AND KN06V THE SAAtE TO BE TRUE FND CORRF_CT. ALL <br />PFOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF \YORK WILL BE COMPLIED INITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERA7IT �OES NOT PRESUtifE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHtR <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />'NER OF THIS PROPERTY TO PERFORM1t THE WORK FOR WHICH APPLICATION IS MADE AND I COM1iPLY WITH THE STATE <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />M03O 8 ""OU� <br />p� <br />