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SITE ADDRESS <br />S�R�O <br />LEGAL LOTNO. <br />2��5a <br />TENANTNAME <br />PERMIT APPLIGATION <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. # <br />s, �, <br />BLOCK TRACT <br />zG y ��� . S � <br />CONTACT FOR PERMIT <br />Fa <br />y1 � <br />34i-G6( <br />PHONE <br />CONTRACTOR S'th•en Sar+��45/ShoW. Co1`f. ADDRESSx27-5 �(Y .A� ��L.;'�S4V'ZIP CONTR.LICENSE# <br />Seh10551Y3of-� <br />PHONE 3Sf�r(l,� XLZb <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />Building f� Mechanical <br />PERMIT R Combinalion � Plumbing <br />TYPE D Demolition Si�n <br />U Sprinkler <br />WORK DESCRIPTION n„/4 � W-��� N <br />��4./�t q i�si � ���— <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />0!.iHWASHER <br />LAUNDRY i'RAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER 1N�l-u- H�n� �- <br />� <br />Addilion HEATSOURCE <br />WORK Alteralion $�i Electnc <br />TYPE New � Gas <br />Repair;Mainl O�ner <br />CITY OF EVERETT LOCAL SALE5 TAX CODE IS 3105 <br />TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PU��1P <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METALFIREPLACF7STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. .4LL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH INHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING GF A PERA1IT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING COIJSTRUCTION OR THE PERFORMANCE OF WNSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO PEIiFORM THE WORK FOR N'HICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC70RS LAVJ 18.27 pCW AND 296.200 WAC. <br />��C <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />