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SITE ADDRESS <br />LOT N0. <br />i'�RMIT APPLICATIO`�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TAX I.D. # <br />PERMIT # <br />2�y�v��/ o ��.L�,Ts�� 5��oi y�r-�s�as�y <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />� s���,,� y� s-�.�5 7� � y <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE N <br />PHONE y, � > .r9 .. � � � y ��� /[�//C/7�%iC <br />PROPOSED USE OF BUILDING <br />�/l i ��f1 l� <br />: � l%I/� ;T,�.: �f <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />Building Mechanical <br />PERMIT � Combination � Plumbing <br />TYPE Demolition Sign <br />Sprinkler <br />TYPE <br />Addition <br />Alteratlon <br />New <br />RepairMtaint. <br />HEATSOURCE <br />Electnc <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />/�/�1`/i /2Ddr1 /zr�l�r` r; x i���.e r �/�,�. ry i���,���d2 <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />i 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 />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO, I TYPE OF FIXI"URE OR ITEM <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <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 />EXHAUST Fl,N <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AN� KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS il'PE OF WORK WILL BE COMPLIED \VIT:i WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAN i:NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL 1i��1' REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONST?'JCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPFRTV TO PERFORt�i THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW O Nq 296.200 WAC. <br />�i — <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />