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SITE ADDRESS <br />LEGAL � , LOT NO. <br />DESC.f <br />CONTRACTOR <br />PHONE <br />P�RMIT APPLICATIO�V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 G - FAX 425-257-8857 <br />�f" <br />PRONOSED USE OF BUILDING <br />CONTRACT PF210E OF WORK <br />PARCEL TAX I.D. # PERMIT» <br />�o�� Z-D�..3-��S'�� C G�I G 3- <br />BLOCK I TRACT <br />� " CONTACT FOR PERMIT <br />ADDRESS <br />uilding Mechanical <br />PERtnl7 ombination Plumbing <br />7YPE Demolitian Sign <br />Sprinkler <br />PHONE <br />ZIP CONTR. LICENSE p <br />�AdOilion HEATSOURCE I <br />Alteration Electric I <br />New s I <br />RepairiNainL Other <br />CIN OF EVFRET� LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />- /ktiGl�l����T�i'lH/�:{/c!,.�iC //r/�L�G:P/I/�I.� <br />- /%%� �fL:ir:vi�l,�- ///!//� L/.f/� %/f�/J��� �G��: T3 <br />i /�<ll%l!/C��/J �i` %/i:'i✓fi7J•[�////�,- /L�iGG <br />NO. I TYPC OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTH[S WASHEP. <br />URINAL <br />DRINKING "rOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />NO. I TYPE OF FIXTUR[ OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUA1P <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIFING <br />EXHAUST FAN <br />OTHER D�L�li�/r/A1C <br />I H[REBY CERITIFV THAT I HAVE READ AND EXAMIM1ED THIS APPLICATION AtJD KNOIN THE SAME TO BE TRUE AND CORRECT. ALL <br />i`ROVISIONS OF IJ�WS AND GRIDINACES GOVERMING THIS ?YPE OF �1'ORK WI�L BE CGIdPUED `NITH \NHETHER SPEGFIED HEREIN OR <br />PJOT. THE GRANTING OF A PERMIT DOES tJOT PRESU�dE TO GIVE AUTHORIN TO VIOLAT'c OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL L:W REGUWTING CONSTRUCTION OR i HE FERFORMANCE OF CGNSTRUCTION. THAT I AM AUTHORIZED BY THE '. <br />O�VNER OF THIS PROPERTY TO PERFOR, M THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY 11'ITH THE STP,TE � <br />CONTRACTORS IAW 78.27 RCW AND�29 i00 WAC. ' <br />, . � % . ��� ����'l <br />l: �i � ii.. L� <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />