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� <br />PE�MIT APPLICATl�� ; <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX A25-257-8857 <br />SITE /AD,��RESS I <br />7(�v/ f/�!i� (�2�,�,�/ 1�J/'�y' , <br />LEGA LOTNO. BIOCK TRACT <br />PARCEL TAX I.�. � <br />i�oSv�b��3a�.��d <br />C�� —CJ O� <br />,�nr�iNo 5 �/zz� I c�'�i}�i/ �o �S3 6�t�Hgf/ 7zoG <br />CONTRACTOR AOORESS ZIP CONTR. LICENSE # <br />PHONE � <br />Eao��yr- �zn6 <br />PROPOSED USE OF BUILDING <br />l7i s3 .�vw�/'�i �2 �/7 <br />�vrti� . ao[3�'�TS <br />8uiiding ivi<chanical <br />PERMI'! IR—� Com6ination Plumbing <br />TYPE �J ��emolition � Sign <br />L� aprinkler ��� <br />CONTFACT PRICE OF WORK ��J� <br />WORK OESCRIPTION � <br />� ��� <br />�O. I TYPE OF FIXTURE OR REM <br />WATER CLOSET <br />,_ BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER • <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />� BACKFLOW PREVENTER <br />Wi¢ �Z S� <br />��j Atldition <br />WOFK �'_A�ieralion <br />TYPE B New <br />Repaid�daint. <br />HEATSOURCE <br />Electric <br />Gas <br />�Other <br />CITY OF EVEflEIT LOCAL SALES TAX CODE I5 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ A!C—A/HANDLINGUVITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER � <br />= RANGE HOOD <br />WATER HcATER <br />METAL FIRFPLACE/ST�,�'c <br />FIREP�CE INSERT <br />GAS FIFiEPLACE <br />_ GAS RANGE <br />GAS PIPWG <br />_ EXHAUST FAN <br />OT =R <br />1EREBY CERITIFY 7HAT I HAVE F61D AN� EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />;OVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIE� WITH WHETHER SPECIFIED HEREIN OR <br />7T. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />fATE OR LOCAI LAW REGl1LATING CONSTRUCT�ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />NNER Of• THIS PROPERTY P M THE WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />�NTRACTORS�p1W 1B.27� 96.200 WAC. <br />�IL <br />