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SITE ADDRESS <br />DESC. <br />TENANT <br />�� PERMIT APPLICA��'ION <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 />TRACT <br />CONTACT FOR PERMIT <br />PERMIT # <br />Bo3as <br />PHONE <br />�%ZS <br />I �'l�,r� <br />CONTRACTOR s'���' ADDRESS ZIP CONTR. LICENSE N <br />PHONE <br />PROPOSED USE OF BUILDING <br />�/'v' "'c'� c.�:.,�,_ . . <br />CONTRACTPRICEOFK'r'��c ` <br />WORK DESCRIPTION <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 TRNY <br />CLOTH[S WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />widing Mechanical <br />PERMIT Combination Plumbing <br />TYPE �emolition Sign <br />U Sprinkler <br />� <br />/9 � k Z 3 <br />ddition <br />Alleration <br />New <br />RepairlMalnt. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />NO.. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLI�G UNITS <br />FORCED AIR SYSTEMS <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 />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRF.CT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANGEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION. THAT I AA1 AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORAI THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS L4W 1827 RCW AND 296.200 WAC. <br />% �� /�i� J � 1 .— .. _ ., <br />1 f_ <br />ia <br />DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />