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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />� 7 fRF7SS�� �� �� I I PARCEL TAX I.D. N I RM /z X <br />LOT NO. <br />BLOCK I TRACT <br />TENANTNAME CONTACT FOR PERMIT PHONE <br />('YTC, <br />ADDRESS ZIP CONTR. LICENSE III <br />1l• lJl � &-v17� I hjW Vf(W CWmEf3Zmm <br />-- - <br />q3 <br />PROPOSED USE OF BUILDING <br />(� Building <br />Mechanical <br />NEATSOURCE <br />PERMIT <br />jR Combination <br />Plumbing <br />WORKeretian <br />*Addillon <br />Electric <br />TYPE <br />Demolition <br />Sign <br />TYPE <br />ew <br />Gas <br />Sprinkler <br />epalr/Main1 <br />Other <br />CONTRACT PRICE OF WORK1/1T- I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESC IPTIO <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 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 />A/C — AIHANDLINGUNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANF 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 />OWryEF7 F THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CO Tli RA`OCiORS1AW 18 21 RGW AND 796 200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />/� <br />