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� <br />SITE ADDRESS <br />DESC. <br />OWNER <br />WAME <br />PERMIT APPLICATION <br />CITY O�r EVERETT PERMIi SERVICES <br />3200 CEDAR STREET, EVERETi', WA 98201, 425-257-8810 <br />CONTRACTOfl ) <br />✓O�!�✓�t yo'1ii✓k t,}: <br />PHONE ,. <br />PROPOSED U;;E OF BUILDING <br />Sj <br />CONTRACT PRICE OF WORK <br />WORK DESCFIPiION <br />NO. I TYPE OF FIXTURE OR ITEM <br />PApCEL TAX I.D. k <br />TRAC7 <br />ADDRFSS <br />����L >� � rn-' <br />�.ONI'4CT N ME <br />. �-t U� `e_ <br />ADDRESS <br />Building <br />PEqMIT R Combinalion <br />TYPE D Demoiition <br />u Sprinkler <br />WATER CLOSET <br />BATHTU6 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />UP.INAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKF�OW PREVENiER <br />SINK (SERVICEJBAR/ldOP/ETC.) <br />OTHER <br />RMechanical <br />Plumbing WORK <br />D Sign TYPE <br />P[RMIT # <br />PHONE <br />��� - S/ � <br />PHONE <br />I CONTR. LICENSE # <br />I <br />i �_ <br />Addition HEAT SOURCF <br />AVeration Electric <br />New Gas <br />Repair/Main[. , Other <br />CITY OF EVEHETT LQCAL SALES TAX CODE IS 3'105 <br />NO. � TYPE OF FIXTURkE OR ITEM <br />A1C — A/HP.NDLING UNITS <br />FORCED AIR SYSTE:MS <br />HEATPUMP <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 />EXHAUST FAN <br />OTHER _ <br />� HEPEBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION ANU KNOW THE SAME TO BE'RUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OAIDINFCES GOVERNING THIS TVPE OF WORK WILL 6E COA7PLIED WITH WHETHER SPECIFIED HEFEIN OR <br />NOT. THE GRANTING OF A PEHMIT DOES NOT PqESUME TO GIVE AUTHORIN TO VIOL4TE OR CANCE� THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW f7EGl�LATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC710N. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPER i V TO PERFORM THE WORK FOR WHICH APPLICATION IS h1ADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 FCW AND 296.200 WAC. <br />