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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRES <br />PARCEL TAX I.D. N I PERMIT e <br />l"Vt�i7? <br />SNy� oo2-v19 -coo; <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC. tit 2-C) <br />OWNER ADDRESS ZIP PHONE yaS <br />W x:3 3 o3 <br />TENAW NAME <br />I CONTACT NAME PHONE <br />boo <br />CONTRACTOR ADD/RES,S,n ZIP CONTR. LICENSE 0 <br />q p <br />Ci�D"�l[C �C� �/ r"' <br />PHONE <br />PROPOSED USE OF BUILDING <br />�b Builcliny fi Mechanical <br />PERMIT Ru�Rji Co alion IIL--J(( Plumbing <br />WORK <br />.N Addition <br />Alteration <br />HEAT SOURCE <br />c <br />/ <br />nrntOcIeL <br />TYPE Demolition Sign <br />TYPE <br />New <br />Repair/Mai <br />aw <br />Sprinkler <br />t� <br />aW ^- <br />CONTRACT PRICE OF WORK IC�Pt- <br />C ITY OF EVERETT LOCAL SALES TA <br />WORK DESCRIPTION — <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET — (G�i� <br />_ <br />A/C -- A/HANDLING UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WAS) -I BASIN) <br />SHOWER <br />_ <br />H <br />HEAT PUMP <br />UNIT HEATERS SP <br />KI ICI EN SINK & DISPOS; L <br />CLOTHES DRYER f� <br />DISHWASHER <br />_ <br />RANGE HOOD 6 X 0 <br />U <br />LAUNDRY TRAY <br />WATER HEATER 0 <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENI ER <br />GAS PIPING <br />_ <br />_ <br />SINK (SERVICE/BAR/MOP/ETC. <br />EXHAUST FAN <br />CTI-IE,1 _ <br />OTHER - <br />I HEREu'i CERITIFY THA, I HAVE HEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVFRNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY 10 VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THATI AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRCC- RS LA 6. Y RCWyANDD 229 200 WAC. <br />Si at a of Owner/Contractor/Authorized Agent Date <br />I �Z <br />0 <br />