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SITE ADDRESS <br />LOT NO. <br />DESC. <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 />cvn i nwc wR <br />�lymp� c, ��n�� caa <br />PHONE <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />� I� <br />PARCEL TAX I.D. • <br />TRACT <br />CONTACTFORPERMIT <br />ADDRpESS <br />�21'I� O �2�Q� F�J2.. �.17 <br />PHONE <br />ZIP CONTR. LICENSE � <br />qQ�J�13 olv�mpmz cozDh <br />Bullding Mechanical A���� <br />PERMIT B CombinetlOn � Plumbing WORK B Allowtion <br />7ypE D Damolition Sign 7vPE D New <br />U Sprinkler U RepairlMelnt. <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />OISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOPIETC.) <br />OTHER <br />HEATSOURGE <br />�Elactrk <br />Gas <br />O�trer <br />CITY OF EVERETT LOCAL SALES TA7c COoe � aiva <br />NO. � TYPE OF FIXTURE OR ITEM <br />AIC — FUHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACFJSTOVE <br />FIREPLACE INSERT <br />GAS FlREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AN� ORIDINACES GOVERNINCa THIS TYPE OF WORK WILL BE COAIPLIED WITM WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUI.aTINCa CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BY THE <br />OWNEF pF THIS PRO E O PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />rnu2wb�7DfiBtrt4lf AND 296.200 WAC. <br />DEBIT $ CREDIT CARDS ARE NOT ACCEPTED <br />