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SITE ADDRESS <br />LEGA LOTNO.� <br />DESC. <br />OWNER <br />� �k� � <br />TENANTNAME <br />CONTRACTOR <br />��';�n� s <br />PHONE <br />P�RMiT APPLICATIC,N <br />CITY OF EVERETT PERMIT SERVICES <br />32�0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />�z,. Lt <br />PROPOSED USE OF BUILDING <br />Ja� � <br />CONTRACT PRI OF N" <br />PARCEL TAX I.D. # <br />� Du b •-O�o <br />TRACT <br />4�72e Wr <br />CONTACTFORPERMIT <br />PERMIT ti <br />-�� 6b3 <br />'U,� ..._.__ <br />4 � <br />.� 5`� - <br />PHONE <br />A1tDRESS ZIP CONTR. UCENS� p <br />/��cYo x ik75 % , <br />S«Ao-v� S � ��Y� I <br />� �iiff�',zo �:i O[ <br />�'F� uilding MCChanlCal Addi(ion HEAT SOURf.E <br />PERMIi �j Combinalion � Plumbing WORK� Alleration I n ElecMc <br />'.'YPE � Demolition Sign TYPE New H Gas <br />Spflnklef RepaidMainL L! Other <br />3� z- <br />WORK DESCRIPTION <br />�jFLtJ nl���c�i`� �a24G� <br />NO. � TYPE OF FIXTURE OR ITEM <br />WA I ER GLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />NO.. � 1YPE OF FIXTURE OR ITEM <br />A/(: — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY TH/1T I HF.VE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE Tr�UE AND CORRECT. ALL <br />PftOVIS10NS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOE� NOT PRESUM1IE TO Gil'E AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LF�W RL"GULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPUCATION IS MADE AND I COMPLY WITH THE STATE <br />CONJ{iACTOR� LAW 1�.27 RCW AND 296.200 WAC. <br />�/L <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />