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P`�RMIT APPLICATI�,�V <br />CITY OF EVERETT PERMIT SERVIC�S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 <br />SiTE ADDRESS <br />LOT NO. <br />PHONE <br />PROPOSED USE OF 9UILDING <br />����' <br />STHT/A(/ .�id• 5 <br />CONTRACT PRICE OF WORK <br />WOqK OESCRIPTIqN <br />PARCEL TAX I.D. M <br />BLOCK I TRACT <br />I CONTACTNAME <br />i'�/zJS <br />ADDpESS <br />Building Mechanical <br />PeRM1T B Combir.elion R Plumbing <br />TYPE � Demolitlon � Sign <br />U Sprinkler <br />ZIP <br />PERMIT M <br />.��, . �», <br />CONTfl. UCENSE M <br />�Addition I HEATSOURCE <br />Alleratlon n Electr!c <br />New F � Gns <br />Fepair/Mainl. LJ Olher <br />CfTY OF EVERETT LOCAL SALES 7A% CODE la 3105 <br />7��L-tSh' �XlST/� F/?.� sT'AT/O�(/ <br />N0. � TYPE OF FIXTURE Ofl REM <br />WATERC�OSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN iINK 8 D�BPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />UAINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />BACKFLOW PREVENTEFa <br />SINK (SERVICE/BAR/MCP/ETC.) <br />OTHER_ <br />NO. I TYPE OF FIXTURE OR RENI <br />A/C — A/HANDLING UNIT!i <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHESDRYER <br />RANGE HC�OD <br />WATER HEATER <br />METAL FIREPLACE/S i�)VE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER _ <br />I HEREBY CERITIFY THAT I HA'JE READ AND EXAMINED THIS APPLICATION AND KNOW ThE SAME TO BE T9UE AND CORFiECT. ALL <br />' PROVISIqNS OF LA1VS AND ORIDINACES GOJEFNING THIS TYPE Of WOH� WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br />' NOT. TM: GRANTIN3 OF A PF:RMIT DOES NOT PRESUME TO GI`/E AUTHORITY TO VIOLATE OR CANCEL TIiE PROVISION OF ANY OTHER <br />STATE OR LOCAL LF W REGUJITING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PRqPERN TO PEFiFORM THE WORK FOR WHICH APPLICATION IS MADF_ AND I COMPLY �NITH THE STAT? <br />CONTRACTOFS LAK 18.27 RCW AND 298.200 WAC. <br />