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SITE ADDRESS <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />,A cz <br />TENANT NAME <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 />BLOCK I TRACT <br />CO TRACTQR <br />PHONE I <br />PROPOSED USE OF BUILDING <br />PERMIT <br />JJ \ TYPE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />3 WATER CLOSET (TOILET) <br />3L BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />I KITCHEN SINK & DISPOSAL <br />I DISHWASHER <br />LAUNDRY TRAY <br />E CLOTHES -WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />r_ FLOOR DRAIN <br />BACKRLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PARCEL TAX I.D. # <br />CONTACT FOR PERMIT PHONE <br />ADDRESS ZIP CONTR. LICENSE # <br />���y <br />Combination <br />Demolition <br />Sprinkler <br />wecnanicai <br />lumbing <br />Sign <br />Addition <br />WORK Alteration <br />TYPE w <br />Repalr/MaInt <br />HEAT SOURCE <br />Electric <br />s <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS.3105 <br />Ill <br />/72 <br />NO.. <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />(� <br />,A/C-A/HANDLING UNITS <br />i <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />n <br />UNIT HEATERS <br />_J_ <br />CLOTHES DRYER <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />—L <br />GAS RANGE <br />' GAS PIPING <br />EXHAUST FAN vv.eQxx31-p� <br />OTHER <br />i ntt,tbY UtMI 11f-Y 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 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />C"1 n <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />