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SITE ADDRESS <br />� :s <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />1 I \ <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8870 — FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />BLOCK � TRACT <br />CONTACT FOR PERMIT <br />e <br />CONTRAC OR � ' � � /y(1OR655 � •I f� IP CONTR. LICF.NSE a <br />r 7 l <br />(�(,r1��Y1\��.Fcl ���rC �-Y11CGzI�.lili_. t,v, d�c�x ��`�(5% ( l'�hL,>Ur �� ��i��/G L(N�.LII'I�L1�3�(� <br />1 <br />PHOHE <br />(")rc0 c,���-�ISci �U1.��9%% <br />PROPOSED USE 6F BUILDING <br />Building Mechanical <br />PErtMIT � Combinalion R Plumbing <br />TYPE Demolilion � Sic�n <br />Sprinkler <br />CONTRAC? PRICE OF WORK •1>' ��� 6� <br />WORK OESCRIP710N � ��� �� la �1,\ <br />NO. I TYPE OF FIXTURE OR ITEM <br />W�TER CLOS[T <br />BATHTU6 <br />LAVATORY (WASI�i DASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISI��WASIIGR <br />LAUNDRYTRAY <br />CI.nTH[S WASHER <br />URINAL <br />DFINKING FOUNI'AIN <br />FLOOR DRAIN <br />BACR?LOW FReVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER <br />�Addilion I HEAT SOl1RCE <br />Alleralion � Eleclnc <br />New Gas <br />RepaidMainl. Olhar <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />;��� ��nnt:(.e,�- �t+ <br />NO. � TYPE OF FIXTURE OR ITEM <br />NC -� A(HANDLI�!G UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPlACE/STOVE <br />FIREPLACE INSERT <br />GAS FIRC-PLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUST FAN <br />I HERE�Y C[RI71PY 7HAT I HAVE RLAD AND [%AAfINED THIS APPLICATION ANU KNOW iHE SAME TO 6E TRUE AND CORR[CT. ALL <br />PROVISIONS OF LAWS AN ORIDINAC[S GOVERNING TFIIS TVPE OF WORK WILL O[ COM1IPLI[� WITH WHETHER SPECIFlED HEREIN OR <br />NOT. THE ' f�NTING OF ERAf1T DOES NOT PRESUh1E TO GIVE AUTriORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />ST 7E O L CAL LAVJ REG LA IN CONSTRUCTION OR THE PEP.FORMANCE OF CONSTRUCTION. THP.T I AM AUTHORIZED 6Y THE <br />� YN6 � JF tHlti PROPERT O Pf - THE LYORK FOR WFIICH APPLICATION IS 1dA�F. AND I COMPLY WIiH THG STATC- <br />C T A ORS LAW 1N.27 A 29C 1 D W <br />I <br />�;:f,; n �� n �+t ,,,,\ i_i�_.;�1 <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED �I�Z <br />