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F-ERMIT APPLICATiUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS I PARCEL TAX I.D. N <br />LEGALI LOT NO. I > BLOCK TRACT <br />OESC. <br />PERMIT N <br />M 030 2-D2 g <br />TEN NT NAME I CONTACT NAME <br />PHONE <br />7 <br />_.Y1 y41 / O/I/ ll.�k%y AOOHESS , / ! ", III//}J LF CONTR. LICENSE N <br />PHONE r%9, �a /V <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />Building Mechanical <br />B Combination ff Plumbing <br />Demolition 6 Sign <br />Addition <br />WORK P AlterationHEATSOURCE <br />TfPE New <br />�j Electric <br />Sprinkler <br />Rep it/Mainz. <br />LUj Gas <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 31a5 <br />WORK DESCRIPTION n > <br />dh.� , "'t /�/C�- <br />NO. I TYPL OF FIXTURE OR ITEM <br />WAIcH CLOSET <br />_ BATHTUB <br />LAVATORY (WASH BASIN) <br />_ SHOWER <br />KITCHEN SINK & DISPOSAL <br />_ DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />—i ry , — A/NANULIN(i UNI IS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER - <br />I HEREBY CERTIFY 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 OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CO RS LAW 18.�7 CW AND 256.206 WAC. <br />� <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />