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SITE ADD KE$S % <br />�����G'� �/ �'l%ti <br />DESC. <br />TENANT <br />PERMIT APPLICATION <br />CITY OF EVERET7 PERIl71T SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-885 i <br />r..�_ <br />BLOCK <br />PHONE 3 5 3- 3�5� <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />i��� <br />PARCEL TAX I.D. # <br />- )o-� 3S3 -000 -o <br />TRACT <br />/o`� r S�� �v <br />� CON7'ACT FOR PERMIT <br />GLJ:1'�'�: <br />Building Mechanlcal <br />PERMIT Combination � Plumbing <br />7MPE emolition Sign <br />Sprinkler <br />S• � �r �G� • � <br />NO. � 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 />CI.OTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />TYPE <br />PERMIT # <br />� �-lb 3 - ob � <br />PHONE <br />21P CONTR. LICENSE N <br />AddiUai I HEATSOURCE <br />Alteratlon ElecVic <br />New Gas <br />RepairRdaint. Other <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS 3705 <br />{,�,�s� � ����:�.,� ��,���.� <br />MECHANICAL <br />N0. � TYPE OF FlXTURc' JR ITEM <br />A/G —AIMANDLIiVG UNITS <br />FORCED AIR SYS7EMS <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 RANGE <br />GAS PIPING <br />EXHAUSTFAN <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 GOVERN'NG THIS TYPE OF N'ORK WILL BE COMPLIED WITH WFiETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A pERMi i� DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PkOVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TFiE PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HORIZED BY THE <br />O ER OF THIS PROP R TO PERFORM TNE �YORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITF1 THE STATE <br />C TRACTORS lAW�BE.�RG�J/�ND 296200 WAC. <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />