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PL.3MIT APPLICATIG. J � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMI7 H <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS <br /> ZIP PHONE <br /> TENAN7NAME I CONTACTNAME <br /> PHONE <br /> CONTRAC70R ADDRESS LP CONTR.LICENSEM <br /> PHONE <br /> PflOPOSED USE OF BUILDING Build(ng D Mechanical Addition NEAT SOURCE <br /> PERMIT g COmbineli0n U PIUm6ing WORK R Aileration Electric <br /> TYPE D Demolition U Sign Typ� D NeW Qe$ <br /> U Sprinkler U RepaidMainl. Other <br /> CONTRACT PRICE OF WOqK CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR REM NO. TYPE OF I•IXTUflE OR ITEM <br /> _ WATEii CLOSET _ A/C—A/HANDLING UNITS <br /> ! _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> � SHOWER _ UNIT HEATERS <br /> i _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> � _ DISHWASHER _ RANGE HOOD <br /> I _ LAUNDRY TRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> ! _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> i _ �LOOR ORAIN _ GAS RANGE <br /> _ BACKFLOW PREVENTER _ GAS PIPING <br /> _ SINK(SEFVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I HEREBY CERI7IFY'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AN�ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERIAIT DOES NOT PRESUME TO G�VE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OF LOCAI LAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signalure ol Owner/ContractodAuthorized Agent Date <br />