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SITE ADDRESS <br />LOT NO. <br />TENANT <br />P�MIT APPLICATIC� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 4?5-257-8857 <br />PARCEL TAX I.D. N <br />BLOCK I TRACT <br />CONTACTNAME <br />PEiiM1T M <br />GCS�p � —OG <br />PHONE <br />s i — � <br />CONTRACTOR AD�RESS ZIP CONTR. LICENSE N <br />PHONE <br />PROPOSED USE OF BUIL�ING <br />8�'o Raann <br />CONTRACT PRICE OF WORK <br />WORK D CRIPTION <br />nBuildi.+o Mechanical <br />PERMIT �j Cambination R Plumbing <br />7vPE Demolition � Sign <br />B Sprinkler <br />5 fi4 � RS 5 � �''rn� � �c1D �-+ST <br />NO. I T'PE OF FI%TUHE OR REM <br />WATEF CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISNWASHER <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 />Addition <br />WORK Allemlion <br />TYPE New <br />Rapair/Maint. <br />HEATSOURCE <br />�Electric <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />N0. I TYPE OF Fll(TURE OR ITEM <br />� <br />FUC — A/HANDLING UNITS <br />FUFiCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATEFi <br />METAL FIREPLACE'STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER _ <br />I HEFEBV CERITIFY'FiAT I HAVE READ AND ExAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOL4TE OFi CANCEL THE PROVISION OF ANY OTHER <br />57ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY THE <br />OWNER OF THIS PFOPEHN TO PERFORM THE WORK FOR WHICH APPLICATION IS MA9E AND I COAIPLY WITH THE STATE <br />CONTRACTORS lAW 18.27 RCW AND 296.200 WAC. <br />