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f� <br />LOT <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 — FAX 425-257-8857 <br />,� PARCEL TAX I.D.11 PERMI7 p <br />Sr o05 s3i-ao�-0��- v� i'11�o. <br />-� BLOCK TRACT <br />TENANTNAME � <br />� �r.ti v-hLt�-�..1��eo <br />- C�: <br />CONTRACTOR I•-��� da�j <br />PNONE ��� , �3 <br />`/-j I <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIP710N <br />NQ. I TYPE OF FlXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRIh!CING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SEFVIC6EAR/MOP/ETC.) <br />OTHER <br />G�zmA� <br />� CONTACT FOR PERMIT <br />ADDRESS ��' � I <br />PHONF <br />,Z <br />�j ; � P CONTR. LICENSE N <br />�8ao i <br />Building Mechanipl <br />PERMR � COmbination � Plumbing <br />TYVE Demolilion Sign <br />Sprinkler <br />Additlon <br />Alleretion <br />New <br />RepairlMaint. <br />HEATSOURCE <br />�Eledric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TA%COOE IS 3705 <br />NO. I TYPE OF FIXTURE OR REM <br />AIC - A/HANDLING UNITS <br />FORCED AIR SYSI'EMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACFJSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIFY THA7 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 NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOi. THE GRANTING OI� A PERMIT �OES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL IAW FtEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPE.RN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATF. <br />W TRACTORS IAW 18. RCW AND 296200 WAC �- �1 <br />�� � �'v`a"� � Nlf,r�BD l�,�YGI,UG�^- � -�— i/�� <br />Finnah�re nf fNanedCont2 flAc�ulhOnz¢d A��� DOIB <br />& CREDIT CARDS ARE NOT ACCEPTED <br />