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SITE ADDRESS <br />LtGAL� LOT NO. <br />DESC. in .— <br />� <br />CONTRACTOR <br />PHONE <br />P�RMIT' APPLaCATION <br />GITY OF EVERE7T PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />_,�Q`�425-257-8810 - FAX 425-257-8857 <br />I <br />PARCEL TAX I.D. # <br />7'i �— /7<'.J /1 //� _ <br />/ /l � /�. �7S D l0 � <br />ADDRESS ZIP PHONE <br />�✓1%i�-a.� %%h iio 3 ��- /�i�S�2�z y�iz� ao� �-��-�� <br />-C�ONTACT FOR PERMIT �i,,��in'�fS `�� <br />(.( !/ � <br />ZIP <br />PHONE <br />CONTR. LICENSE # <br />PROPOSED USE OF BUILDING BUilding MeChaniC31 ddiGon HEAT OURCE <br />PERMIT Combination � Plumbing IWORK �Alteration I Electric <br />7YPE �Demolilion Sign 'rypE �17 NP�y Gas <br />i�Sl�"P�C�- �� Sprinkler d Repair/Maint �Other <br />PRICE OF WORK <br />WORK �ESCRIPTIO�M1'""^" <br />��,«/ � y ����� �y�,�. <br />�vtGe�C,� _ .icfz2�/�lfr� <br />NO. I TYPE OF FIXTURE OR IiEM <br />wH i tH GLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER / <br />KITCHEN SINK & DSSR�C <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKIPJG FOUN <br />FLOORDRAIN �����S�T�����/)7/-1 <br />BACKFLOW PREVENTER <br />SINfi (SERVICE!BAR/MOPlETC.) <br />OTHER <br />, <br />NO. <br />CITY OF EVERETT LOCAL SALES TAX COD� IS 3105 <br />s, <br />TYPE OF FIXTURE OR ITEM <br />w� — wHnNDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLqCE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN �'Y� �C RO � <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APP�ICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES (iOVERNING THIS TYPE OF WORK WILL BE C�JMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT �OES VUT PRESUME TO GIVE AUTHORITY TO VIGLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TNE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR{�CTORS LAW 827 RCW AND 2962001�qC, <br />/ L rJ� I - / <br />C����/ Gj �Cl � �. .. •� �-# ��.- --. �1/ %���F <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />