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I <br /> � PERMIT APPL�fCATION <br /> i CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 4Z5-257-8857 ������D��� <br /> SITE ADDRESS PARCEL TAX I.D.# PER T# <br /> : 3� �h ��l/J9�G� <br /> LEGAL LOTNO. 3 CK TRACT <br /> DESC. <br /> OWNER ADORESS ZIP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> CONTRACTOR ADDRESS ZIP (:ONTR.LICENSF!! <br /> PHONE <br /> PROPOSED USE OF BUILDING � BUllding � MeChanlCal n Addilion HEAT SOURCE <br /> PERMIT CombinaCon Plumbing woRK r5 Alteration Electric <br /> T'1'PE Demolition Sign TYPE K New Gas <br /> Sprinkler IJ RepaidM;int. I Olher <br /> CONTRACT PRICE OF SNORK CITY OF EVERETT'_OCAL SHLES TAX COO[IS 3105 <br /> WORK DESCRIPTION <br /> �Ccy12fJ�"� <br /> 10ctn�Lv�s'� .. � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEPA NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) _ A/C–A/HP.NDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> i DISHWASHER RANGE HOOD <br /> I LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ META.L FIREPLACE/STOVE <br /> URINAL FIREPLACE!NSERT <br /> � DRINKING FOUNTAIN GAS FIREPLACE <br /> Ft.00R DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SfNh;SERVICE/BAR/MOP/ETC.) _ EXHAUSTFAN <br /> I OTHER OTHER <br /> I — i <br /> � <br /> '� I HEREBY CERITIFY THAT I HAVE READ AND E%.4MiNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL i <br /> PROVISIONS OF LAWS AND ORIDINHCES GOVERNING THIS h'PE OF WCRK WILL BE CCMPLIED WITH WHETHER SPFCIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE HUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCA�LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TFiAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS�.�ADE AND I COMPLY WITH TI-IE STATE <br /> CONTRACTORS LAW 18.27 RC'N AND 290.200 WAC. <br /> � <br /> � Signature of OwnerlContractor/Authorized Agent Date I <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED I <br /> �,. <br />