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PtRMIT APPLICATIUN <br />� CITY OF EVERETT PERMIT SERVICES <br />�.�"' 3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRES,$ � ' n <br />�i� �f��� <br />LEGA LOT N0. �, ^ � <br />OESC. � �l�_ <br />OWNER <br />�- 1 <br />TENANT NAME <br />�� <br />CONTRACTOR <br />PHONE nJ �i�ll C <br />PROPOSED USE <br />. � n /�A <br />BUILDING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION ���'� <br />PwMein <br />N0. I TYPE OF FIXTUHE OR ITEM <br />WATER C�_OSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SI�OWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASN[R <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />UFINAL <br />DRIN�(:NG FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SEFVICE/BAR/Iv10PlETC.) <br />OTHER <br />PARCEL TAX I.D. ff <br />0 �1 q 33� <br />TRACT _ <br />ADOHESS <br />I�ea� � ��c�n�� <br />CONTACTNAME <br />RD� �--� � I 1 <br />ADDRESS <br />Building Mechanical <br />PEHMIT Combination R Plum6ing <br />TVPE Demolilion � Sign <br />Sprinkler <br />�6 G3/ <br />���I�-llo <br />CONTR. UCENSE 11 <br />j� Addilion <br />�-� Alieralion <br />�-� New <br />U RepairlMainl. <br />HEATSOURCE <br />�Elactric <br />Gas <br />Other <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br />N0. I TYPE OF Fl7(TURE OR ITEM <br />A/C -A/HANDLING UIJITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />MGTAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBV CERITI�V TH�T I HAVE READ AM1D EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRFCT. ALL <br />PFO'✓ISIONS UF LP WS AND OAIDINACES GOVERNING THIS TYPE OP WORK WILL BE COhIPUED �YITN WHETHEF SP6CIFIED HEREIN OR <br />NOT. THE GRANTIWG OP A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION Of ANV OTHER <br />STATE OR LOCAL LAW FEGULATIN�i CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCTIUN. THAT I AM AUTHOR�ZED 6Y THE <br />OWNER OF THIS PROPERTV TO PERFORM THE \NORK FOR \YHICH APPLICATION IS MADE AND I GOMPLY WIl H THE STATE <br />CONT�NS LAW 1827 RCW AIJD 29G200 WAC. <br />� �-"� C�M � L ,. ✓1 °�FRI�''C ,S // / Z <br />