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RMIT APPLICATI�iN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />����� <br />SITE ADDRESS PARCEL TAX I.D. # PERMI7 # <br />�� Z.� �G�.--�I�e I I xoS/J -UO� <br />LEGA lOTNO. BLOCK TRACT <br />TENANTNAME <br />PHONE <br />PROPOSED USE OF BUIL�ING <br />GONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />CONTACT FOR PERMIT <br />���tM,��� S��OS 1 vr <br />S1�G <br />NO. � TYPE OF FIXTURE OR ITEM <br />� WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />�_ KITCHEN SINK & D�SPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />�_ URINAL <br />� DRINKING FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTER <br />� SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />� <br />Building Mechanical <br />PERMIT R Combination � F�lumbing <br />TYPE D Demolition Sign <br />U Sprinkler <br />PHONE <br />�� zia acoer����s��3L� <br />�9��0 <br />Addition <br />Alteratlo�t <br />New <br />RepairlMaint. <br />NEATSOURCE <br />D Electric <br />U Gas <br />U Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. . � TYpE OF FIXTURE OR �TEM <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 FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS R,4NGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TFiE SAME TO BE TRUE AND CORRECT. 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 CANCEL THE PROVISION OF ANY OTHER <br />STA7E 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 NADE AND I COMPLY WITH THE STATE <br />CONTRACTORS L1jW� 8.2a RCW Fj�D 29p�400 WAC. <br />3 <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />