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PERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> SITE AD RESS PARCEL TAX L�./ � P RMI7 N <br /> � i�r�t'fM�s� �l'. �4 - <br /> LE LOTNO. �},�BLOCK TRACT � � `� Q` <br /> DESC. �V`/� ���� �� �/ I17y <br /> E <br /> VN� �1fM� 1 'Vnfl � �� l R�'A{� 1 � -ii��� ���� <br /> TEN E� ��, CO�TACTFO- RPEpyn � 'S�'+ � O� <br /> ANT NAM <br /> 1 C L � � <br /> �T oi�o'ry'ifi vorii iDil�� ' <br /> ��R �� ADDRE83 ZIP CONTR.LICENSE/ <br /> PHO! �� ` <br /> PR_ OpOSED US_ E OF BUILDI� �uildl�g y�MeChanlcal Addltlon HEAT 50URCE <br /> ��..J..■. /��rA PERMIT CombineNon Q-Plumbing WORK Altentlon EkcMc <br /> IIOV��I MrY�� TypE Demolitbn D Sign TYPE Nsw <br /> �� Sprinkler RepeidMalnt. Otliar <br /> CONTRACT PRICE OF WORK � �j�/-� I�, CITY OF EVERETT LOCAL SALES TAX CODE q J106 <br /> r�� � <br /> wowc oescniPnoN � �K����` � ��� <br /> T��M'AM�'1�111'�1'I� A �NAAt� E�1Vi <br /> Ui�l�liA��t1�lJFibtA'N1101F. O1�M'�CM'�fR. lEU14�N'f"�lR•O�YILfo�VM�ll�fri OI�AK'«'• <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FD(TURE OR ITEM NO., TYPE OF FIX7URE OR 17EM <br /> WATER CLOSET(TOILET) _ AIC-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACFJSTOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOPlETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> � <br /> � I HEREBY CERITIFY TH.:T I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> � PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITFi WHETHER SPECIFIED NEREIN OR <br /> i NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> � STATE OR LOCAL LAW REG TING CONS7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI�D BY THE <br /> OWNER OF THIS PR ERTY PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT RS LA 1 .27 AND 296.2U0 WAC. <br /> Signature o ner/ContracWr/Authorized Agent -r at� �/l <br /> DEBIT 8 CREDIT CARDS AR� NOT ACCEPTED <br />