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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 />SITEADDRE33 U�ie -I 3�� pARCELTAJtI.D.1 P MI'T7��.., ���/� <br />�ICi�N��n.,..A�_�G.�l'f1PriYf �.f}�. I �yc,yla.ro�� I �di/L/� �C.`-ti!i <br />DE5C. <br />NAME <br />NO. <br />TRACT <br />NAME <br />QVQ 5%QV�b' �ON `�('r jb l S Ei L�L 1�o'S�. a� �i �d'QO <br />PROPOSED USE OF BUILDINO <br />�' <br />CONTRACT PRICE OF WORK <br />Bullding Mechenical <br />PERMIT B Combinetion �Plumbing <br />TYPE ❑ Damolllion Sign <br />U Spnnkler <br />WORK DE9CRIPTION <br />,t�r.d.i—�-rJ' �a-uT. �-yti� G-�Cv�- <br />.Q�..;�.•.. �',,,,ccu-c�c.• <br />NO. I T/PE OF FU(TUNE OR REM <br />WATER CLOSET <br />BATHTUd <br />�AVATORY (WASH BASIN) <br />SINK d DISPOSAL <br />UIUNDRY Y <br />CLOTHES WA E <br />URINAL <br />DRINKING FOUNT <br />FLOOR ORAIN <br />BACKF�OW PR� <br />SINK (SERVIC / <br />TYPE <br />PHONE <br />- dJ 0' / 70� � <br />corirn. uceNse r <br />p,1vEs c �o�o SA <br />�Atldllion <br />Allerelbn <br />Nuw <br />Fepeir/Maint. <br />MEAT80URCE <br />Elaniic <br />Oae <br />Othar <br />CITV OF EVERETT LOCAL 6ALE8 TAX CODE IB �10b <br />NO. I TYPE OF flXTURE OR ITEM <br />A/C —A/HANDUNG UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />NIT HEATEHS <br />C �QTHES DRYER <br />RANG� HOOD � <br />METAL F <br />FIREPLACE <br />OAS FIREPL <br />6AS RANOE <br />DAS PIPINQ� <br />I HEREBV CERITIFV THAT I MAVE FEAD AND E%Ah11NED THIS APPIICATION AND NNOW THF SAME TO 8E TRUE AND CORRECT. ALL <br />PHOVISIONS OF LAWS AND ORIDINACES OOVERNINIi THIS TVPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEHEIN OR <br />NOT. THE CRANTINQ OF A PERMiT DOES NOT PtiESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE OR IOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. TMAT � AM AUTHORIZED BV THE <br />OWNER OF THIS PROPEFTV TO PE(�FORM THE WQ�iK fOR NMICH APPIICATION IS MADE AVD I COMPIV WITH THE STATE <br />CON�AACTORS LAW 19.27 RCW AND 298.200 WAE./ <br />