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�-ERMIT APPLICAT�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S7REET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />SZ 1 S Sc,,�ec. �-{�`' �uc.. ��rc�( <br />LEGA LOT NO. � BLOCK TR/ <br />�esc. �-g I�St N.c. 7, <br />OWNER -��, ADI <br />�� ���, d �. A«cl; �e� S2( S <br />TENANTNAME <br />PARCEL TAX I.D. i! <br />6�5003v1 �7oJ 7�a <br />CONTACTFORPERMIT <br />PERMIT # <br />'-�2S - 23�1—Iooa <br />PHONE <br />��� C I��a.v; cl ��c� r�e �z.s- zs�-�o�o <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />PHONE � �� <br />PROPOSED USE OF BUILDIN � <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />l�� ��o�i� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Buil�ing <br />PERMIT � COmbinatiOn <br />TYPE Demolition <br />Sprinkler <br />S OOO <br />WATER CLOSET (TOILET) <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 />BACKFLO\V PREVENTER <br />SINK (SERVICE/BAWMOP/ETC.) <br />OTHER_ <br />D Mechaniczi <br />U Plumbing <br />U Sign <br />NO. <br />Addition <br />Alteration <br />New <br />Repair/Maint. <br />HEATSOURCE <br />�ElecUic <br />Gas <br />Other <br />CITY OF EVEREIT LOCAL SALES TAX CODE IS 9105 <br />TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED HIR SYSTEMS <br />HEATPUMP <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 PIPING <br />EXHAUSTFAN <br />i I HEREBY CERIT!FV THAT I HAVE READ AND EXAtdINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AN� CORRECT. ALL <br />I PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH K'HETHER SPEGFIE7 HEREIN OR <br />ItJOT. THFFE--,,,��� RANTING OF A PERId1T DOES NOT PRESUME TO GIVE AUl NORITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY OTHER <br />. ST�Oji IJO��W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEU BY THE <br />�� � J R I�FJTH OPERIY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />I ON l�GfO S W 18.27 RCW AND 296.200 WAC. <br />l/-J—O 3 <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />