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� <br />arre noo�as <br />330/ G-a <br />LE LOT NO. <br />� <br />CONTRACTOR <br />PHONE <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAX I.D. / <br />z� � � <br />BLOCK TRACT <br />ADDRE88 <br />�FS 330 / �i'� <br />I CpNTACTNAYE <br />W� <br />��.c� 4«u,r. "uoneaa ��� �, <br />�ROPOSED USE OF BUH.DINO <br />CON71tACT PRICE OF WORK <br />Bullding Mechankal <br />pERMrT BCombinatbn Piumbing <br />TYPE B Demditlon Sign <br />Sprinkbr <br />WORK DESCRIP'iION ,�},�v /��� � t <br />..f- �r» <br />NO, I TYPE OF FlX7URE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <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 (SERVICEIBAR/MOP/ETC.) <br />OTHER <br />�RMrt M <br />r�'03 -G <br />aP PlIONE <br />� Aue �u•� ld: <br />PMONE <br />e�y f, LP CONTR LICEMBE � <br />�(%�6 <br />AddNbn <br />AkxaUon <br />� <br />RepahfMalM. <br />HEATdOURCE <br />D ENclrk <br />B �' <br />� <br />Ctrr oF �aErt �oc�u. a�s TNt cooe �a a,os <br />��y � <br />�. i ������ <br />AIC—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CIOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />OAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED FiERE1N OR <br />NOT. THE O T1NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTIiORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOC lAW TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNFR OF THI ERN PERFq�iM THF� WORK FOR WHICH APPLICA� ION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOx W 18.27 RC AND.L98200�VA� <br />.L/ / A L��.'� � 3��%� <br />C <br />