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� PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3204 .:EDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> 3 ADD SS � � � PARCEL TAX I.D.A PE IT• <br /> . <br /> LE LOT NO. ��L 1��Z TRACT � � � � � <br /> DESC. G <br /> �YE��NPt� �1Dbdl�1'MOWbA1AWUtXr.� k�N�1�', k�l'RbIOI �/�J"�b?�b <br /> ���Y�'I � I C�FO�PE� PHONE <br /> � 1� �� ��•�/` <br /> C�iTRACTOR � ADDREBS ZIP CONiR.UCEN8E/ <br /> w'Di ` �� � <br /> PHONE <br /> �ROPOSED U E OF BUILDING ullding �echanlcal Addltbn HEAT SOURCE <br /> �rr.. �u.. 1�r pERM1T Combinatbn Iumbing WORK �ateratlon �Ebctrlc <br /> Mv�JrpV� ^�" n.pE Demolitlon Sign TYPE New Gea <br /> �j Sprinkler RepalrMylnt Otlier <br /> CONTRIICT PRICE OF WORK `�,�� CITY OF EVERE7T LOCAL SALES TAX CODE q�106 <br /> WORK DESCRI.P.TI,O�N 'A ��/ �y����• �y � yy�, <br /> �R/�Itrl MNT�,r,'�IY�NI � ��iaw�l'{.�/�rti WIVrAF'�/� ^N�'� �V � �y <br /> /`�YvN1/�MVK/ IAGV�✓�� wK�W�WGR/ 1.If/v11R/���71W�� N� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM NO. TYPE OF FD(TURE OR ITEM <br /> _ WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK S DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPIACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER _ GAS pIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I MEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERN�NG THIS TYPE OF WORK W ILL BE CO�dPLIED WITM WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TME <br /> OWNER OF TH�S PRO ER O PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT ORS LA 1 .27 W AND 298.200 WAC. <br /> Signalure o er ontractor u orized pent ate <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED �/L <br />