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ADDRESS <br />P�RMIT APPLICATIOiV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. M <br />,�ee' `�VUkt.- U� , O �'i Z 0 D31� l 1 0 2 <br />LEGA L07N0. B CK �� �n 'I, I�I I II S�✓� �• I <br />DESC. I Z� I I � <br />W Y <br />I ra�� � �- ��c <br />TENANTNAME <br />CONTRACTOR n �� <br />u <br />PHONE <br />PROPOSED USE OF BUILDINd <br />CONTRACT PRICE OF WORK <br />in <br />�su�U <br />CONT;.CT NAME <br />ADDRESS S �,�_ <br />�Building Mechenical <br />PERMIT � Combination Plumbing <br />TYPE Demoiition Sign <br />Sprinkler <br />WORK OESCRIPTION ' <br />A� �� -b h� <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TiiAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOf� DFAIN <br />BACKFLOW PREVENTER <br />S�NK (SERVICE/BAR/MOP/ETC.) <br />OTHEF <br />PERMIT M <br />CoaoB-ca�t3 <br />zo3 353-�I� y � <br />PHONE <br />LP CONTR, LICENSE M <br />Addilion HEAT SOURCE <br />WORK R Alterellon �Elec�rk <br />TYPE D New 6es <br />U Repalr/Meinl. Olher <br />CRY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />S�d�..�.-ti.-., f��., Fc.w;,l./ ro�n.-. <br />��X�� / <br />MECHANICAL <br />NO. I TYpE OF FIXTURE OR REM <br />_ �vc — wr+ArvouN� UNITS <br />_ FORCED AIR SYSTEMS <br />_ HEAT PUPAP <br />_ UNITHEATERS <br />_ CLOTHES DRYER <br />_ RANGEHdOD <br />_ WATER HEATER <br />__ METAL FIREPLACFJSTOVE <br />_ FIREPLACE INSERT <br />_ GAS FIREPLACE <br />._ GAS FANCiE <br />GAS PIPING <br />� EXHAUSTFAN <br />_ OTHER_ <br />I HEREBY CERITIFY THAT I HAVE READ AND ExAMINED THIS APPLICATION AND KNOW THE SAME TO 9E TRUE AND CORRECT. ALL <br />PROVISIONS OF fAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIE:D WITH WHETHER SPECIFIED HEREIN OR <br />N07. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OFl CANCFL THE PROVISION OF ANV OTNEN <br />STATE OF LOCAL LAJJ REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUC fION. THAT I AM AUTHORI2E0 BV THE <br />OWNER OF TH!S PROPERTY TO PERFORM THE WORK FOR IhHICH APPLICATION IS MA�E ANG I COMPLY WITH THE STATE <br />CQNTqACTORS �AW 1 27 RCV�h AN9 29fi.200 WqC. <br />I, iD1.1/. �l.%�.n/ltl�ll.a . 7I�i �..� <br />'la <br />