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PERMIT i4PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, E\'ERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SI7E ADDRESS <br />�t�b2 <br />PROPUSED USE OF BUILOING <br />CONTRACT pq�CE OF WOHK <br />..vnn ucaVnlr I IVn <br />Cl���.�y s <br />TYPE OF FIXTURE OR ITEM <br />�n v�voc� <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />BACKFLOW PREVENTEF <br />SINK (SEAVICElBAR/MOP/ETC.) <br />OTHER <br />PARCEL TAX �.D. N <br />/>`7'L�'f%�'% �(,�S <br />Buiiding �viechar.lcal <br />Combinalion Plumbing <br />Demalition Sign <br />Sprinkler <br />PERMR p <br />I�o� �2-0��{ <br />vZ`> �/� -6 <br />CONTR. LICENSE M <br />/NF/-'i � �lu i <br />nadiUon <br />: Alleratlon <br />ew <br />RepaidMeint. <br />CITV OF EVEHETT LOCAL SALES TAJ( CODE IS 3105 <br />�zu��r��-c� <br />TYPE OF Fl%TUqE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORCED A�R 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 RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />HEREBY CEF:TIFY THAT I HAVE flEAD AND EXAMINED THIS APPLICA710N AND KNOW THE SAME TO BE TAUE AND CORRF.CT. Ai:. <br />'flOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WiLL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />dOT. THE CRANT.ING QF A PERMI7 DOES NOT PRESUME TO GIVE P,UTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br />iTATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />)WtJER OF THIS PROPER7Y TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI7'H THE STATE <br />:ONTRAC�RS LAVJ 1B27 RCW AND 296200 WAC. , <br />�� <br />