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� <br />� <br />SITE ADDRESS <br />�9i� <br />LEGA LOT NO. <br />� =RMIT APPLICATI �N <br />CtTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />'Do�woo� <br />� BLO�K <br />!� O Ql�, �I-��_ <br />TENA NAME <br />CONTRACTOR <br />PHONE ,�,-1 � , ) <br />W Y�.r_iv <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />�l }� (,J/� rha � <br />v - / <br />NO. I TYPE OF FlXTURE OR ITEM <br />WATER 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 />PAHCEL TAX I.O. N <br />�94y'�000 0¢5 0 <br />TRACT <br />ICONTACTNAME <br />ADDRESS <br />uilding <br />PERMIT Combination <br />7YPE Dem01iti0n <br />Spr, nkler <br />(� Mechanical <br />BPlumbing <br />Sign <br />Y/�j <br />WORK R <br />TYPE D <br />�, <br />vo� <br />PHONE <br />CONTR. LICENSE M <br />AOdition <br />Alleration <br />New <br />Repair/Meint. <br />MEATSOURCE <br />Eiectric <br />Gas <br />O�her <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />MECHANICAL <br />NO. I TYPE OF flXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS R/1NGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS AND OR�DINACES GOVERNING TH�S TYPE OF WORK WILL BE COMPL�ED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEFiMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEfi <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORA4ANCE OF r,pNSTRUCTION. THAT 1 AM AUTHORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PEPFORM THE W �ICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS "`"�-� �" �AJ�{D AC. <br />