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ERMIT APR!_ICAT�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />��� � <br />LEGAL LOT O. BLOCK <br />DESC. <br />OWNER <br />�1�U,5 �5 b <br />TENANTNAME <br />CONTRACTOR <br />-rb �� Q�►��D <br />PHONE <br />PROPOSED USE OF BUILI <br />�x��� ra��� <br />CONTRACT PRICE <br />WORK DESCRIPTION <br />�D�IIJ(a �'� <br />IS�3 <br />PARCEL TAX I.D. # <br />�o y� � o� <br />TRACT <br />ADDRESS <br />Building <br />PERMIT � Combination <br />TYPE Demolition <br />Sprinkler <br />�.3 9. 9. 3k ` <br />RMechanical <br />Plumbing <br />D Sign <br />ZIP <br />io- <br />PNONE <br />�as �a-� <br />CONTR. LICENSE N <br />Addition <br />WORK Alterotlon <br />TYPE New <br />Repair/Maint. <br />HEATSOURCE <br />�Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS ]105 <br />5�u� r�-r A����o� ►�� 2� �,�-�R�t-�� (�lg� <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) �' <br />BATHTUB <br />LAVATORY (WASH BASIN) �%i <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/MOPlETC.) <br />OTHER <br />NO.. 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 />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEfSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN /�� <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONT ORS LAW 18.27 R W A1 D 296.200 WAC. <br />`�...L, .� �{ �/},� � a�1i _n� <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� <br />