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SITE ADDRESS <br />LOT NO. <br />`3 <br />TENANTNAME <br />CO>ITRACTOR � <br />- �O �l !/.O <br />PHONE <br />%�., i _ '7.... . <br />PROPOSED USE OF BUILDING <br />�� <br />CONTRACT PRICE OF WORK <br />, <br />�r'ERMIT APPLICAT�ON <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 />�i � �;1:' iS %U ' va <br />BLOCK TRACT <br />S/' !'2 - L� <br />tG/' <br />- sau " <br />PHONE <br />� ADDRESS 21P CONTR. LICENSE # <br />/, v, ,/lu,� G/ �9iv.r'�iTfc C2�. I�7�S' /�/, jo.Oc-'.. ?� 9�1.�-�9 <br />Building D Mechanical <br />PERMIT �Combination U Plumbing <br />7YPE Demolition U Sign <br />Sprinkler <br />� <br />WORK DESCRIPTIOY <br />�1���.�� hc���s�. <br />NO. <br />I = <br />;� 1 <br />� <br />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 />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINA�_ <br />D�INKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />TYPE <br />Additinn <br />Alteration <br />New <br />Repair/Maint. <br />HEATSOURCE <br />Electnc <br />Gas <br />Other <br />CITY OP EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNIlS <br />i FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />/ CLOTHES DRYER <br />/ RANGE HOOD <br />L, WATER HEATFR <br />METAL FIREPLi;CE(STOVE <br />FIREPLACE INSERT <br />� GAS FIREPIACE <br />GAS RANGE <br />L GAS PIPING <br />/� EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND E,�CAM1IINED THIS APPLIC4TION AND KNOW THE SAME TO BE TRUE FND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINPCES ,OV[RNING THIS TYPE OF IVORI< WILL BE COMPLIED WITH WHETHER SPECIFIED HEREW OR <br />' NOT. THE 6RANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ,4NY OTHER <br />STATE OR LOCAL LFlW REGULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />`WNER OF THIS PROPERTY TO PERFORht THE 1NORK FOR':VHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />� JNTftACTORS LAJfJ, 8.27�RC�1N F�L�k7 ?�200}�C. <br />DEBIT & CREDIT CARDS ARE NUT ACCEPTED <br />