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� cRMIT APPLICAI'1�1N <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.# RMIT a <br /> �/07 Eve�r .r« r,v � �-��—�`� <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER AOORESS ZIP PHONE <br /> ASS�.tTfanc� ,(c t�5u� �'f �uc7�`" �o l/ 97 3 �zGc <br /> TENANTNAME I CONTACTNAME PHONE <br /> CONTRACTOR ADORESS ZIP CONTR.UCENSE M <br /> PHONE ����h /VP <br /> ,�oD.,rr� P�u o�,� . Z 5.��o /a �r r.,�*�r �r /�i���. z�acz <br /> PROPOSED USE OF BUILDING pERMIT I—( Spi nkllee,(N of h�)umbingaf WORK� RepaidMaint, HEAT SEU�RCE <br /> TYPE H Demolition Sign 7YPE New � Other <br /> L! <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 REM N0. TYPE OF FlXTURE OR REM <br /> /� WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> � LAVATOflY(WASH BASIN) HEAT PUMP <br /> StIOWER UNIT HEATERS <br /> 1� KITCHEN SINK&DISPOSAL _ CLOTHES DRYER <br /> Z� DISHWASHER RANGE HOOD <br /> _� LAUNDRY TRAY 1 WATER HEATER <br /> I 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(SERVICE/BAR/MOP/ETC.) EXHAU5T FAN <br /> _ OTHER _ OTHER <br /> I HERE9Y 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 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 REGULATING CONSTRUCTION Ofl THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PaOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I GOMPLY WITH THE STATE <br /> CONTR,� TORS,LAW 1�27 flC AND 296.200 WAC. <br /> -������.I z-t �-o� <br /> Signature of Owner/Contractor/Authorized Agent Dale <br />