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`PERMIT 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 FARCEL TAX I.D.tl PERMI7 u <br /> �0 Q�OA�v..JP�'f P03�5-ovl <br /> LEGA LOTNO. BLOCK TRACT <br /> OWNER ADORESS ZIP PHONE <br /> _ � u�l -t�v.�N-H ( �54�� 5�,�- �ht`�bt� �a6-36�- ��q <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> P+td o� gc�o�vaA-y �4-��A�R7 i�-�-N �6- 2�0 - q 4�- <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> PHONE <br /> PROPOSED USE OF BUILDING pERMIT B SPmb�eation u Plumb ng I WORK �-{ Repa rlMaint. HEAT SE ectric <br /> R-�s ����--� i TYpE D Demolition U s�9n rrae �_� New B ca5 <br /> u u ��he, <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> WORKGESCRIPTION �__ w <br /> G-��S`t �i <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER R,4NGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREFLACE <br /> FLOOR�RAIN GAS RANGE <br /> S NKK(S RVICE BAR/MOP/ETC.) �� �� — GAS PIPING <br /> EXHAUSTFAN <br /> _ OTHER ��� _ _ OTHER <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 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANC'cL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OW NER OF THIS PROPERTY TO PERFORAI THE WORK FOR WHICH APPLICATION IS MADE AND I COtdPLY WITH THE STATE <br /> CONTRACT RS LAW 1827 RCW AND 296.200 WA <br /> -- — / O <br /> Signature f edContractor/Autho ' nt Dat <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />