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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-889 0 — FAX 425-257-8857 <br /> � — }`'� i <br /> SITE ADDRES ' PARCEL TAX I.D.# RMi7 tt I <br /> � � , GG5 -t�/ - .5= '� �I a� - Go� � <br /> LEGA 1.01'NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> CONTRACTOR ADDRESS ZIP CONTR.LICEN�E# <br /> PHONE <br /> PROPOSEDUSEOFBUILDING pERMIT � Sp�inki1eation � Plumbi�ga� WORK �—( ReparlMaint, HEATSEQR�E <br /> IYPE Oemolilion U Sign TYPE �_� New Gas <br /> U Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK�ESCRIPTION . � � ' J��� <br /> � <br /> � l �» �-�� ��� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-A/HAN�LING UNITS <br /> BATHTUB � _ FORCED AIR S'(STEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> I<ITC!'.EN SINK 8 DISPOSA� CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY 'NATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLP.CE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER Gl.S PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.1 EXHAUST FAN <br /> OTHER OTHER <br /> — — li <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL i <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING 7NIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR I <br /> INOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GlVE AUTHORIN TO VIOWTE OR CAhCEL THE PROVISION OF ANY OTHER I <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CUNSTRUCTION. THAT I Aht AUTHORIZED BV THE <br /> OWNER-0FTHiS- OPERTY TO PERFORM THE WORK FOR\VHICH APPLICATION IS A1ACE AND I COMPLY WITH THE STATE � <br /> CONTRACTORS Ul 18.27 RCW AN 2�6.200 W . i , <br /> � � <br /> 7. . i � <br /> i naturebf ner/Co racto IAuthonze Agent Date i <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTCD ' <br />