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ERMIT APPLICATI�UN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS �c� � PARCEL TAX I.D. * I PERM�T # <br />/i•vi.,� sa n/., l,�l '- _ 6��r, �?Ti � /�n —�/ ��'Jf) �031 �-GI � <br />LOT NO. I BLOCK i TRACT <br />NAME <br />CONTRACTO ' <br />llfk��(� A�'�rfrrE.���rC, <br />PHONE <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />,��N.� f/oa�sc <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />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 />CONTACT FOR PERMIT <br />ADDRE53 <br />3732 SM�t�% /9�c= <br />Gi.E,�� rr <br />Building <br />PERMIT � Combinalion <br />7YPE Demolition <br />Sprinkler <br />RMechanical <br />Plumbing <br />D sign <br />PHONE <br />ZIP CONTR. LICENSE N <br />f7FFqE'�Ilo6CF <br />9�f2a/ L�T /U 7�j <br />Addltion HEAT SOURCE <br />Alte2tlon R Electric <br />New �j Gas <br />RepairlMainl. U Othar <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />NO.. I TYPE OF FUC7URE OR ITEM <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSI'EMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPt OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLl+TE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />01NNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS IAW�f RCW AND 2Q('i39GWAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />