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�, <br /> � � <br /> .; <br /> P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR `'TREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX f.D.# PERMI7# <br /> 2 � cyo�- <br /> LEGA LOT NO. BLO TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> CONTRACTOR ADDRE55 ZIF CONTR.LiCENSE# <br /> �jo�oV�E.�.� �L..n�l�ti.LCo �� //�� <br /> PHONE �G IVl�C-HI1�h��G/4-� I'�+��U� �I�L� ��1 V �ZiLCi <br /> PROPOSED USE OF BUILDING Building f� Mechanical Addition HEAT SOURCE <br /> PERMIT � Combination � � Plu�nbing WORK R Alleration D Electric <br /> TYPE Demolition LJ Sign TYPE D New U Gas <br /> Sprinkler U Repair/Maint. U 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 FIXTURE OR I7EM N0. TYPE OF FIXTURE OR ITEM � <br /> WATER CLOSET(TOILET) C- ANDLING UNITS <br /> BATHTUB FORCEU AIR SYSTEMS <br /> � LAVATORY(\NASH BASIN) _ HEAT PUMP <br /> SF�OWER UNIT HEATERS <br /> �_ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> L4UNDRYTRAY / � WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/�TC.) EXHAUST FAN <br /> OTHER OTHER ___ <br /> I HEREBY CcRITIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> O�VNER OF THIS PROPERTY TO ERF M THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY 4VITH THE STATE <br /> CONTRACTORS LAW"7B27 ND .200 WAC. <br /> � � �a <br /> Sig re of wnedContractodAulhorized Agen Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />