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SITE ADDRESS <br />� <br />LE LOT NO. <br />DESC. <br />i�R11iIIT APPLICATi�N <br />CITY OF EVERETT PERMIT SERVICES <br />�200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BIOCK <br />n <br />PHONE �'����y`E �� <br />:� PROPOSED USE OF BUILDING <br />�� �S�rI.C`���� <br />I CONTRACT PRICE OF WORN <br />WORK OESCRIPTION <br />NO. � TYPE OF FIXNRE C21TEM <br />wA7ER CLOSET (TOILE7) <br />@ATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISH4VASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAWMOP/ETC.) <br />OTHER <br />PARCEL TAX I.D. # <br />ICONTACT FOR PERMIT <br />ADDRESS <br />Building echanic <br />PERMIT R Combinalion Plumbing <br />TYPE D Demalition Sign <br />U Sprinkler <br />(li O <br />PERA9T # <br />Ma3, <br />PNONE <br />ZIP CONTR. LICENSE # <br />�ddiGon I HEATSOURCE <br />toratlon EIc;Uic <br />ew <br />RepaiNMaint. Other <br />GTY OF EVERETT LOCAL SALES TA7C CODE IS 7105 <br />NO. � TYPE OF FIXTURE OR ITEM <br />1_I A/G —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEA'i PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/Sl'OVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS R,4NGE <br />GAS PIPING <br />� EXHAUSTFAN <br />OTHER <br />"cREOV CERI7IFY THAT I HnVE READ FND EXFMINED THIS APPLICATION AND KNOW THE SAME TO AE 7RUE ANp CORRECT. h�L <br />�?OVtSIONS OF LAYJS FNO ORIDINhCES GOVERNING THIS TYPE OF WORK WIIL 6E COMPLIED WITH INHETNER SPECIFIFD MEREIN OR <br />'�07. THE GRANTING OF h PER611T DOES NOT PRESUME TO GIVE AUTHORiTY TO VIOLATE OR CANCEL THE PROVISIUN OF ANY OTHER <br />STATE OR LOCAL LAW REGUL4TING CONSTRUCTION OR THE PERFORPdANCc OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />07/NER OF THiS PROPEP.TY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH 7HE STATE <br />CGNiRACTORS LAW 78.27 FjfiW FND 298.200'NFC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />