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{� <br /> P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDF',ESS PARCEL TAX I.D.N PERMiT# I <br /> �.13 c� � �o�-�� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. c.{ZS Z S�� � � <br /> uv1'NER ADDRF55 �-Z rnkk� I ZIP PHONE. <br /> C,��., -r� ��e�'e� ��4.', c���e�''F cc� �, r�43 � <br /> TENAN AME CONTACTFORPERMI7 PHONE <br /> � / ��7Q3- 3�Z <br /> CQM,T�RACTOR ^ •_ � �n�I - ��r�DRE$7 ZIP CONTR.UCENSE fl � <br /> r 1 V, ::�j V!� � «/'`s.' ' ��,,s2 /� s��fi41'� �,f ,/J p. <br /> PHONE U�S°� KflJ� ��'�.! "Y- � Y S �7 �V\ /��I �Q� <br /> t � <br /> PROPOSEDUSEOFBUILi)ING I TMPE�i B Spnnk1lern n S9ntingal TMPE � Repalr�/MaInL HEATSG g�E <br /> I--/ Other <br /> CON'�RACT PRICE OF WORK CITY OF EVEh2ETT L.00AL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OP�1=1XTURE OR I7EM NO, TYPE OF FIXTURE OR�TEM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> I VATORY�WASH BA51N} HEAT PUMP <br /> OWER UNIT HEATERS <br /> � KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> ISHWASHER RANGEHOOD <br /> / LAUNDRYT�AY WATERHEATER <br /> CLOTHES VJASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACEINSERT <br /> DRINKING FOUNTAIN GAS FIREFLACE <br /> FLOOR DR41N GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA'NS AND ORIDINACES GOVERNING THIS TVPE OF WORK WI�L BE COMPLIED\NITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOP.ITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCP.I LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER TNIS PF:OPERTY TO PERFORM THE WORK FOR WHICH APPL!CATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT ORS LAW iB.27 RCW AND 296.200 WAC. <br /> - C� D ('j}� <br /> �gnature of OwnedContractor/Authon d Agent ate <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED I <br />