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SITE ADDRESS <br />3 7 0� <br />LEGAI LOT NO. <br />DESC. <br />OWNER <br />un ��� <br />TENANT NAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREI-f, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />c� �-n <br />BLOCK <br />� <br />PARCEL TAX I.D. # <br />TRACT <br />CONTACT FOR PERMIT <br />J � G�4fi,6e� �� <br />CONTRACTOR S'�h�••,$ e (�„�nfi'Yy�-,(i.. ADDRESS/�V�� �� 0-f�' �/� ZIP <br />PHONE ��� , ��II' �7 �� lTrlY�y/"�'� Gd�7 � �I� �ZJ <br />PROPOSED USE OF BUILDING <br />�.emo <br />CONTRACT PRICE OF WORK <br />LYORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TO�LET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />Bui�ding Mechanical <br />PERMI7 R Combination � Plumbing <br />TYPE D Demolition Sign <br />u Sprinkier <br />PERMIT # <br />� �loa �Oo� <br />�� <br />P40NE <br />6v-6�9/�c <br />CONTR. LICENSE 8 <br />SY�r %c �rgyo Q <br />Addilion HEAT SOURCE <br />WORK � Alteration � Electric <br />TYPE New Gas <br />RepaidMaint Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — NHANDLING UNITS <br />FORCEO AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATcRS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER NEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAh11NED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORIDINACES GOVERNING THIS T1'PE OF WORK WILL BE COMPLIED WITFI WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERRIIT DOES NOT PRESUti1E TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEP,FORMANCE OF CONSTRUCTION. THAT I AA7 AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORAI THE WORK FOR WHICH APPLICATION IR MADE.4ND I COMPLY WITH THE STATE <br />CONTRACTORS WW 18.27 RC'.VAND 296200 WAC. <br />y <br />DEBIT & CREDIT CARDS ARE NOT ACCFPTED <br />