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SITE ADDRESS <br />LEGA LOT N0. <br />P�RMIT APPLICATION <br />CITY O� 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. I <br />N <br />�/ - 03 <br />CONTRACTOR ADDRESS 21P CONTR. LICENSE N <br />PHONE <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTON <br />NO. I TYPE OF FIl(TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASIIER <br />LAUNDRYTRAY <br />CLOTHESIVASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAWMOP/ETC.) <br />OTHEF_ <br />n Building <br />� � Com6ination <br />BDemoiilion <br />Sprinkler <br />mecnamcai Aatliuon HEATSOURCE <br />Plumbing WORK Alterntion Elo 'c <br />Sign TVPE New as <br />RepaiNMeinl. Other <br />CITY OF EVEREff LOCAL SALES TAX CODE IS 3105 <br />NO. � TYPE OF Fl%TURE OR ITEM <br />A/ " A/HHNULIN(i UNITS <br />ORCED 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 CER�TIFY THAT I HAVE READ AND EXA�IINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br />PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OP <br />NOT. THE GRANTING OF A PERMIT �OES NOT PRESUh1E TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BY THE <br />OWNER IS PROPERTY TO PEHFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONT CTO �AW 18.27 RCW AND 7,9j.200 WAC. <br />�� � �� <br />