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SITE ADDRESS <br />Yc,�U Eve� <br />GAL LOT NO. —� <br />PERMIT APPLICA'� i�N <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVER�TT, WA 98201 <br />425-257-8810 - FPX 425-257-8857 <br />BLOCK � ?RACT <br />PARCEL TAX I.D. # <br />PERMIT ir <br />7'o3ia-oo� <br />�G���-Y,� ��:�,,v� ��o'c�gy e ? b'c� CZ/-c?S�c��, cd�7;' td'zad" <br />TENANT NAME I CONTACT POR PERMIT PHONE <br />CONTRACTOR <br />PHONE J <br />�dD��ls[�/ <br />PROPOSEO USE OF BUILDING <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. � TYPE OF fIXTURE OR i7EM <br />f f? WATER CLOSET (TOILET) <br />BATHTUB <br />� LAVATORY (WASH BASIN) <br />SHOWER <br />—� KI ; CHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />� DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICElBAR/MOP/ETC.) <br />ADDRESS <br />ZIP CONTR. LICENSE # <br />l�fn_C�.�f.-.�, IZuDin I'�Z7 <br />� SJ70 / z u/�-c,�c .r c ��-z L� <br />6uildiny Mechanical <br />Comhination Plumbing <br />Demolition � Sign <br />Sprinkler <br />I � Addition <br />WORK Alterelion <br />TYPE New <br />RepaidMaint. <br />HEA.TSOURCE <br />�Electric <br />1i35 <br />Oltief <br />CITY OF EV�R�1T LOCAL SALES TAX CODE IS 3'105 <br />NO. . � TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />P,ANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS R4NGE <br />GAS PIPING <br />EXHAIJST FAN <br />OTHEr: <br />� � I 1 <br />I HEREBY CERITIrY THAT I HAVE READ AND EXAMINED THIS APPLICATION A�D 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 />NJT. THE GRANTING OF n PERAIIT DOES NOT PRESUME ?O GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISiON OF ANY �THER <br />STATE OR LOCAL LAW REGUL:�TING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAGE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAN/�8.27 R�W AND 296.200 WAC. <br />/ � v� <br />� �1., -.C�fv�� -,�r�r <br />ig�re of <br />i <br />� <br />DEBIT & CREDIT CARDS ARE NO'1' ACCEPTE� <br />