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1-ERMIT APPLICATION <br />CITY OF EVERE77 PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />z <br />7, - P <br />I PARCEL TAX I.D. 0 PERMIT w <br />I�1�3rJa <br />LEGAL LOTZ NO. <br />I BLOCK I <br />BLOCK <br />or r� <br />TRACT <br />ur rHVNE <br />�'� '� •, c ,5� . �� �� Z 7 7 3.— ✓57`S.E %8.'v -/zs- -3 <br />TENANT NAME I CONTACT NAME PHONE <br />CONTRACTOR - ADDRESS <br />5, /,•} ADDRESS �` ZA,c ZIP CONTR. LICENSE 0 <br />yi4., �s ayZ k z <br />PHONE !�2 �- 2 � `J— Z / <br />360/ L vr, c,J"i` d ..%r/•.-,..fig 9a �n i <br />PROPOSED USE OF BUILDING <br />PERMIT <br />I <br />n Building echanical <br />Combinationlumbing <br />Addition <br />WORK Alteratlon <br />URCE <br />HEWOE'lectric <br />TYPE <br />IjjL---J((( Demolition U Sign <br />TYPE New <br />GasSprinkler <br />(w of heads) <br />Repair/Melnt. <br />ther <br />CONTRACT PRICE OF WORK --�); — <br />O <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Wf)nw nccroronnu <br />_ <br />NO. ) TYPE Cr FIXTURE OR ITEM; <br />WA I EH CLOSET (1 OILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/G - A/HANDLING 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 FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />_ OTHER <br />I HEREBY CERTIFY THAT 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 WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 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 FOR WHICH APPLICATION IS N ADE AND! COMPLY WITH THE STATE <br />CONTRRAAACIP�RS LAWL18.27-JIFICIN AND 296.200 WAC. <br />