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2 <br />Y <br />PE. MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />7SD ��c� QcQ bd , q --C>oo -Os -03 <br />LEGAL[ LOT N . BLOCK TRACT <br />DESC. p OWNER ADDRESS ADDRESS ZIP PHONE <br />TENANT NAME /CONTACT FOR PERMIT PHONE M <br />14(19 <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />C1 4c R- C �l-�eA �R-(�a� E. e� L°7 b'�1- <br />PHONE <br />PROPOSED USE OF BUILDING uilding echanical p <br />dition HEAT SOURCE <br />4.,_,.__ , f a, PERMIT Combination lumbing WORKeration�lectric <br />"�'"""�TYPE Demolition Sign TYPEw as <br />Sprinkler pair/Maint. Other <br />CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION, <br />AAs <br />P <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) !I <br />BATHTUB <br />LAVATORY (WASH BASIN) I II <br />SHOWER / <br />KITCHEN SINK & 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 />NO. I 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 />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN III <br />OTHER <br />I_ <br />7_ <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 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 />en <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />