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PERMIT APPLICATION <br />CITY OF EVERETT PEHMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />7 ��U <br />LEGA L%T NO. <br />DESC, k� <br />! �'' ( <br />CONTRACTOR <br />(,�IA- (�1'—1,<I G'T�rY <br />BLOCK <br />✓ �'� <br />IPARCEL TAX I.D. # <br />� ¢5'S�' ��z�- oi <br />TRACT <br />L..�4�e� /�e,�,Gh <br />� 3 2� UvN•,� <br />ICONTACTNAME <br />�� s'3� c�?'/ 3 <br />11DDRESS <br />Pe pr a <br />� ��� <br />ZIP PHONE <br />`7�?�S ;1ZS .�.i5' <br />PHi�IJE <br />ZIP CGNTA. LICeNSE A <br />c�w�; - �<: � s�'� v�,.,,, 'i�r _ <br />PHONE �t}�- Uy9"' 7S'v) <br />S6Z-i " ?3 4% v ..4 5' <br />PROPOSED USE OF BUILDING -BUilding MCCIlanlCal <br />PERMIT Combinalion � Plumbing <br />�y�C TYPE Demolilion Sign <br />� Sprinkler <br />CONTRACT PRICE OF WORK <br />WORKDESCRIPTION /�� �>J� �/`� <br />�..� <br />NO. � TYPE OF FIXTURE OR ITEM <br />_ WATERCLOSET <br />__ BATHTUB <br />_ LPVATORY (WASH BASINj <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 />I _ SINK (SERVICE/BAR/MOP/ETC.) <br />� _ OTHER <br />�Add�tiun kEATSOURCG <br />Alleralion w Electric <br />New <br />RopairlMaint. Otho <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />G�j� <br />�'�.,�ki <br />S �-�-iu�. Z <br />h�-�J <br />NO. � TYPE OF FIXTURE OR ITEM <br />NG - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREP�ACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAIdINED THIS APPLICATIOIv AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK LVILL BE CGAIPUED WITH WHETHER SPECIFIE� HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM1fE 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 AA1 AUTHORIZED BY THE <br />OWNER OF THIS PAOPERTY TO PERFORM ?HE WORK FOR WHICH APPLICATION IS MADE AND � COMPLY WITH 7HF STaTF <br />