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_ �_ _ <br />RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />�so, ��. <br />DESC. <br />TENANT NAME <br />CONTRACTOR D�n� <br />PHONE <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />CONTRACT PRICE'OF WORK <br />WORK DESCRIPTION <br />PARCEL TAX I.D. M <br />r_������� <br />�50� �it�.. Ave 5� Ev- q`d2ut� <br />CONTACTNAME <br />`�.6�.bx6i�dt ��"�{"SLtti�aR.vO�W' <br />ADDRESS <br />�Building 5� Mechanical <br />Cort�binalion � } Plumbing WORK <br />Demolition p Sign TYPE <br />Sprinkler <br />�,�strtll wrw uzr��-bµ��n�t� s�ove <br />N0. � TYPE OF flXTURE OR REM <br />WATER CLGSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW �R[VENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PERMIT ri <br />mo<<b -o <br />�-t25�34$'12b7 <br />PHONE <br />Z�i' 34 g- I Z/o <br />CONTR. LICENSE N <br />Addition I HEAT SOURCE <br />Aiteration R Electric <br />New L% Ges <br />RepaldMaint. QA omer wc <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. I TYPE OF FlXTURE OR REM <br />A/C — AMANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RP.NGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIRF.PLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THI; APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF U1WS AND ORIDItJACES GOVERNING THIS l•�?E OF WORK WILL BE COMPLIED WITH WHEfHER SFECIFIED HEREIN OR <br />NOT. THE GRPNTING OF A PERMIT DOES NOT PAESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK POR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />