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��RMIT APPLICATIC)N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 — FAX 425-257-8857 <br />SITE ADDRESS <br />�o7iS N/��..� �� <br />Li.GA LOT NO. BLOCK <br />TRACT <br />PARCEL TAX I.D. N <br />BERMIT K <br />IC'O� oS- <br />,L�t�/cld[t �4L6�e�,e7sr� 67�3 h<ibNW�� /J.2 <br />7ENANTNAME I CONTACTFOR PERMIT PHONE <br />CONTRACTOR �g�NS UN �J�n., (� , �ORESB iIP CONTR. LICENSE R <br />PHONE �933 � /�-I�I7V ��� �-C %1G71f MJ.�+f 2.72 <br />i36o) G03 -7s�E��. ��.,,� �,v�, 9�z3 <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />Building Mechenical <br />PERMIT BCombinaUon Plumbing <br />TYPE Q DemoliGon Sign <br />ba Sprinkler <br />WORK DESCRIPTON <br />�NSi�tc � /�e= S,�,Z..�KCL�C <br />NO. � TYPE OF FIXiURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOW ER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />naeiaa, NEAT sOURCE <br />wowc � aurana, � eiea�+c <br />TYPE New Gaa <br />Repelr/Maint. ONer <br />I CRY OF EVERETT LOCAL SALES TAX CODE 13 J1os <br />/.v .�-�t1ai 6 F� <br />MECHANICAL <br />NO.. � TYPE OF Fll(7URE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />��- ��_ <br />I HEREBY 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 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GR4NTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTftUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />