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�iERMIT APPLICATIVN <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.N ERMIT s <br /> 1 3 o Z / �eo.a� �►� c� �03 - �� <br /> LEGA LOT N0. BLQCK TRACT <br /> DESC. <br /> 01VNER ADDRESS <br /> ZIP PHONE <br /> 7 — ,��e� �.� �� <br /> TENANT NAME O. /� � ��e, jJ/, ,L� �c ACT FOR PERMIT PHONE <br /> .� l..! K�kO"� <br /> � OCJC �c��2C�i /�iZ � I} P � � <br /> CONTRACTOR ADDRESS ZIP ONTR.LICENSE k <br /> PMONE <br /> PROPOSED USE OF BUILDING f") Building Mechanical Addition HEAT SOURCE I <br /> PERMIT K Combination umbing IWORK Alteretion Electric I <br /> 7YPE �_.l Demolilion Sign TYPE New �R-{ Gas <br /> U Sprinkler epeir/Maint. LJ Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl7(TURE Oq REM NO. TYPE OF FlXTURE OR ITEM <br /> WATER CLOSET _ {vi;-q/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> = LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> � KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> � BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERV�E/BAR/MOP/ETC.) _ EXHAUST FAN <br /> � OTHEN l-II� ��,1 .P,A V _ OTHEF <br /> II HEREBY CERITIFV TNAT I HAVE READ AND EXAh11NED 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 GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUC710N 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 /> CONTRACTO W 1827 RCW AND 296.200 WAC. <br /> [t <br /> S�ynawre�oi uwnent,ontracronnumoa�.qgent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> t <br />