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SITE ADDRESS <br />LOT NO. <br />DESC. <br />r <br />PtRMIT APPLICATI N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TAX I.D. # <br />PERMIT # <br />DC�3 6'7 -Go <br />�N1Tn I,E� �l ��-•c� �D �s'�"'�. �'3�z� �?�•l7�• a� <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />� F3�t,� Mlt�:2 �•�tS• l'2.�3 <br />CONTRACTOR <br />NHONE / � � <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICc' OF WORK <br />ADDRESS <br />Building <br />PERMIT � Combination <br />TYPE Demolition <br />Sprinkler <br />WORKDESCRIPTION�us� ��, ���� <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN S�NK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />Mechanical <br />Plumbing WOR! <br />Sign 7YPE <br />ZIP CONTR. LICENSE N <br />Addition <br />ace�uo� <br />New <br />RepaiNMaint. <br />HEATSOURCE <br />ElecVic <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />NO.. I TYPE OF FIXTURE OR ITEM <br />A/C—A/HANDLING 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 HA EAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND IDI ACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER S"ECIFIED HEREIN OR <br />IJOT. THE GRANTING OF A ERMI DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LA� RE LAT G CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OP THIS PR ER TO ERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RC AND 296.200 WAC. � � <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />