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� <br />SRE ADDRE33 <br />Z�2 � <br />LEOA LOT NO. <br />DESC. <br />TENANTNAME <br />COM'RACTOR <br />PHONE <br />PROPOSEO USE OF BUILOINa <br />CONTRACT PRICE OF WORY. <br />REI�MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />PERMIT <br />TYPE <br />v��379� <br />TRACT <br />ICONiACTNAME <br />ADDRESS <br />QBuilding Mechanical <br />�.] Combinatbn Plumbing <br />�] Demolitlon Sip� <br />U Spdnkler <br />WORK DESCRIPTION �/' "' ' " n ^ � / <br />� �!.(l'�q V <br />v <br />N0. I TVPE OF FlXTURB OR REM <br />WATER CLOSET <br />BATHTU3 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISPO£AL <br />DISHWASHER <br />IAUNORYTRAY <br />CLOTFIES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DfiAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICElBAR/MOP/ETC.) <br />OTHER <br />aP <br />PERMR • <br />PHONB <br />CONTp. L,N:ENSE • <br />Addltbn I FIEATlOU110E <br />AlbnUon ENctric <br />N�w fi�e <br />Rep�k/M�InI OUNr <br />CITY OF EVERETT LOCAL lALEt TAX COOE M �10i <br />f:C•�f "�ii��•:,�l:fi�I:T�•::l�i� 1 <br />A/C - A/HANDLINf3 UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DHYER <br />RANOE HOOD <br />WATER HEATER <br />METAI FIREPLACE/STOVE <br />FIREPLACE INSERT <br />(iAS FIREPLACE <br />�AS RANOE <br />OAS PIPINO <br />D(HAU3T FAN <br />OTHER <br />1 HEREBY CERITIFY THAT i HAVE READ AND EXAMINED THIS APPLICATION AND K�'JW 7HE SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS OF LAl /S AND ORIDINACES QOVERNINO THIS TYPE OF WORK WILL HE COMPUE� WRH NMEiHER SPECIFIED HEREIN OR <br />NOT. THE aRANTING OF A PERMIT DOES NOT PRESUME TO 61VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTMER <br />STATE OR LOCAL LAW REOULATINO CONSTRUCTON OR THE PERFORMANCE OF CONS7AUCTION. THAT I AM AUT}IORRED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICIi APPLICATiON IS MADE ANO I COMPIY WITH h1E STATE <br />CONTRACTORS LAW 1827 RCW AND 298200 WAC. <br />pneture o wned ontrector ut o z qant et� <br />