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SITE ADDRESB <br />� <br />LEGAL LOTNO. <br />DESC <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />5 <br />CONTAACTOR <br />����T oN r1�t,�G <br />PftOP08ED USE OF BUILDINO <br />q.� PARCEL TAl( I.D. � <br />r � /D� <br />8LOC1f iRACT <br />ADDRE88 nP <br />I?l� lZ11 Sr, S�E, ,E�cI <br />CONTACT FOR PERMiT —T <br />I ✓�l`�l�Z� Al 1 / �K 1(� � <br />A�DRE88 �J ifi�,�Z� nP <br />Building Mechanic <br />PERMIT B Combinetion Plumbing <br />TYPE D Demolition Sign <br />U Sprinkler <br />PERMIT � <br />LICENBE / K�� <br />��zss <br />AddNlon � I MEAT BOUPCE <br />WORK Allxetbn Eledrle <br />TYPE New �at <br />RepeldMelM. LJ on�x <br />CONTRIICT PItICE OF WOR�/�'/� O DO I CITY OF EVERETf LOCAL SAlEB TA% CODE IS �106 <br />10.1 <br />WORKDESCWPTON <br />IntS�u- h[� C++�S P�P�NG Qbb(1�/NSTqU. I�E,W GtirS FUkrlRC,t <br />►1a�-uP �hru�ai. �4s �o N'�r,ht�r�� r�Ne, uTic.�r/ teao�--t � <br />AN A w2u�tc`.E <br />NO. I n'PE OF FI%TURE OR ITEK <br />WATER CLOSET <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY Ti'AY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />DACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOPIETC ) <br />OTHER <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C — A/HANULING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />El(HAUST FAN <br />OTHER <br />: HEREBV CERIiIFY THAT I HAVE READ ANU E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PaOVISIONS OF LAWS ANU ORIDINACES GOVERNING THIS TVPE OF VJORK VNLL BE COMPLIED VNTH NMETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHOFITY TO VIOIATE OR CANCEL THE PROVISION OF ANV OTHER <br />Sl ATE OR IOGAL IAW REGUTATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BV THE <br />O ER OF THIS PFOPERjjTV TO PE ORM THE WORK FOR NMICH APPLICATION IS MADE AND I COMPLY NATH THE STATE <br />CVON�RAGTO ' L 1� RCy�{,?�2B(i ^00 WAC. <br />(l �,(l.( n I �Ue�� � S/�`� <br />DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />