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�CRMIT APPLICAT°��N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />� ' �--� � <br />LEGA LOT NO. BLOCK <br />DESC. <br />OWNEFi <br />TE�/ )( E ��- �-.--f L� <br />J' <br />PARCEL TAX I.D. # <br />THACT <br />�� y /� <br />ICONTACTNAME <br />CONTRACTOR ADDRESS Z�p <br />PHONE � /-�S SC�GIJIC�F/�`bi����f ��j//1'CD�IC�/(.-4iUQ ���L)� <br />PROPOSED USE OF BUILDING <br />PEFiMIT <br />TYPE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />RBuilding <br />Combinalion <br />BDemolilion <br />Sprinkler <br />�`�'1� �� 5 �4 c��� <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEiBAR/MOP/ETC.) <br />OTHER <br />�Mechanical <br />Plumbing <br />L� sign <br />� �� <br />PERMIT A <br />rnvrvc � �� — <br />PHONE /O <br />CONTR. LICENSE M <br />Dr�-v �55 <br />�Addilion I HEAT SOURCE <br />Altemtlon �Electric <br />New Gas <br />Repair/Maint. Other <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br />t,-- �.� u � 1 �� <br />NO. � TYPE OF FI%TURE OR ITEM <br />A/G -A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATEFi <br />METAL FIREPL4CE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUST F.4N <br />OTHER <br />I HERE3Y CERITIFY THAT I HAVE READ AND EXA611NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFiRECT. ALL <br />PROVISIONS OF L,11N5 AND ORIDINACES GOVERNING THIS IYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E 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 PROPERN TO PERFORM THE'NORK FOR WHICH APPLICATION IS PdA['E AND I COMPLY N9TH THE STATE <br />GONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />��� <br />