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SITE ADDRESS <br />z <br />F'E..MIT APPLICATIOI. <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. N <br />1,.� `�0�- (�a <br />3 <br />LOT N0. <br />BLOCK I TRACT <br />- ----.. ..--• •--- —. .. . <br />/n�?,�K c�"i'i E,CMr� ycJ /�'rh��aoL�s4 Ar.E F�/E,�'r 9s1o3 ; <br />� <br />TENANTNAME CONTACTFORPERMR PHONE <br />i'�I��K CETT�oyl��c.% CZoI� ,.�,3-/S�z / _ <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE M <br />PHONE ��i ��� <br />vw <br />PROPOSED USE OF BUILDING <br />:S/K7GG� Fs7n?tGi� <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTON <br />Building <br />PERMIT Combination <br />TYPE Demolition <br />Sprinkler <br />,��1' ��� <br />�" (� � /�"�' � �. <br />NO. I TYNE OF FIXTURE OR REM <br />WATER CLOSET <br />B/ THTUB <br />IAJATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPGSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLCOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVIC[/BAR/MOP/ETC.) <br />OTIIER <br />�3t�o <br />�Mechanical Addition MEATSOURCE <br />Plumbing WORK �Iteretion �Electric <br />Sign TYPE ew Gas <br />RepaldMeint. Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />� J � <br />NO. I TYPE OF FI%TURE OR REM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNI? HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPL4CE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN � <br />' I HEREBY CERITIFY THAT I HAVE READ AND EXAMINE� iHIS APPLICATION AND KNOW THE SAMt TO BE TRUE AND CORRECT. ALL <br />P70VISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITi! WHETHEFi SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCE;. THE PROVISION OF ANY OTHER <br />I STATE OR LGCAL LAW REGULATING CONSTRUCTION OR THE PERFURMFNCE OF CONSTRUCTION. THAT I AM AI�THORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY �NITH THE STATE <br />: CONTRACTORS LAW 18.37 RCVY AND 296200 WAC. <br />nzed Agent DaCe � <br />QEBIT & CREDIT CARDS ARE NOT ACCEPTED �"" �/� <br />� l.�,o(o a�S <br />