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PERMIT APPLICATION <br />_,� CITY OF EVERETT PERMIT SERVICES <br />32G0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />6! <br />TENANT NAME <br />� <br />CONTRACTOR <br />PHONE �y�s���-� yyJ� <br />PFif7YUSE� USE OF 9UILOING <br />CONTRACT PRICE OF WORK <br />PARCEL TAJ( I.�. M <br />TRACT <br />-�UE.�s,�FF.� �,� y� ��� <br />IONTACTNAME <br />�,��� M��� c��s� <br />� ADDRESS �rJ2z - �fe�//�/�(�Ay LF <br />���/�,� �,? �8'Z�/ <br />Build(ng Mechanical <br />PERMIT Combination � Plumbing <br />TYPE . Demolilion Sign <br />Sprinkler <br />WORK DESCRIPTION <br />X�,vsT�� Fi✓rF s���°Ess�o� S{�sTC-r> <br />NO. � TYPE OF FIXTUqE OR REM <br />_ WATER CLOSET <br />BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />_ LAUNDRY TRAY <br />_ CLOTH[S WASHER <br />,_ URINAL <br />_ DRINKIN3 FC:JNTAIN <br />_ FLOOR pRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />N <br />PHONE <br />3ss-65N3 <br />CONTR. UCENSE M <br />j�-60� <br />�Additlon HEAT SOURCE <br />Alleretion Electric <br />Naw Gas <br />RepaiqMaint. Ochar <br />CITY OP EVERETT LOCAL SALES TAX CODC IS 3105 <br />O.� ff�D <br />NO. � TYPE OF F�XTURE Op ITEM <br />_ A/(; -A/HAN�LING UNITS <br />_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />_ UNlT HEATERS <br />_ CLOTHES DRYER <br />_ RANGE HOOD <br />_ WATER HEATER <br />_ METAL FIREPLACE/STOVE <br />_ FIREPLACE INSERT <br />_ GAS FIFEPLACE <br />_ GAS RANGE <br />_ GAS PIPING <br />_ EXHAUST FAN <br />_ OTHER <br />I HEREBY CERITIFY THAT 1 HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORflECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF MIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW EGU ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PRO FTY T ERFORM THE WORK FOF WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS lRW 7 27 RC ND 296200 WAC. <br />� � � /9 - 4 /_ ,fJ/ <br />