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P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STF2EET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />3l � � Na.r.r� <br />LEGA LOT NO. BLOCK <br />DESG �t�L '� a <br />PARCEL TAX I.D. # <br />��o X37r 73 z <br />TRACT YO <br />��e�e�- �Ji'✓ H <br />oiy o0 <br />��� <br />PERMIT # <br />����`T p,�P�.�s��JJ Yo2�- �y�- ,q„r ��� � � � 9��� .�.��. 8�88 <br />_ , �� <br />TENANTNAME I CONTACTFORPERMIT PHONE <br />�/U�iY �d+ �e.-. G�'o!o n.r ar� S/a.�"�3.� y— d��� <br />_ /.,e e,..- �z r •. aDJr�— /7�� <br />CONTRACTOR ��� <br />PHONE <br />AODRESS <br />CONTR. <br />PROPO�E,p�B�I�G I TMPE�T j�Prmkler on `-' P9nbn9al ITMPEK V RePairlMaint. I HEATSO�eNE <br />n <br />��,,� I—S <br />L� S U <br />CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />.9i-r�,-� `�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />��� <br />���---� <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />F1.00R DRAIN <br />BACKFLOW PREVEI'TER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />�-4 �.�.-�j �-+ � j�7o-� <br />,,.�.�,�..� o�..e L�."`��. <br />N0. I TYPE OF FIXTURE OR ITEM <br />A!C —AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />R,4NGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GA:; FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS �PPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACFS GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERAIIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL lAW REGULAT�NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE YVORK FOR WNICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />��'._ ,� s�,s/�- li`7��a� <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />