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SITE ADDRESS <br />yo 9 �� <br />LEGA LOT N0. <br />PERMIT APPLICA�'{ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />AOCK I TRACT <br />PARCEL TAX I.D.1F <br />PERMIT k <br />Xc�yoa- <br />��e�,� �roo�i s �.3.� /Fic� G.vf S�' 7!'c^2.S-a"'oCrZ <br />TENANTNAME CONiACTFORPERMIT PHONE <br />CONTRACTOR G'Q��4^��s ��/��.6;.� ADDRESS ZIP CONTR.LICENSE# <br />L.l.��/OP 9)�L� <br />PHONE L/ZS^ %�j 7' `�7(�' �6 �.lL STY � E`+—^'�_ �jS <br />PROPOSED USE OF BUILDING <br />PERM�T <br />TYPE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHUWER <br />KITCHE� SINK 8 DISFOSAL <br />DISHWASHER <br />� LAUNDRYTRAY � <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />� FLOOR DRAIN <br />BACKFLOW PREVENTER <br />� SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />BBuilding <br />Combination <br />Demolition <br />Sprinkler <br />Mechanical <br />umbing <br />Sign <br />NO. <br />Addition <br />WORK Alteratlan <br />TYPE New <br />Repair/Maint. <br />HEATSOURCE <br />ElecUic <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 <br />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 />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THc SAME TO BE TRI�E AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIE� WITH 1NHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAP ^�EL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TIfE PERFORMANCE OF CONSTRUCTION. . HAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TC PERFORAI THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WIThi THE STATE <br />CONTRACTORS LA\N 18.27 RCW AND 296.200 WAC. _ , <br />� <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />