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P�,RMIT APPLICATI��� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />C�v�/�-�obn'7o�.2!�3 � 020'�'��9 <br />SITE AD�RESS pAHCEL TAX I.D. � PERMIT a� <br />2/ZS Gc� %�i���.t�n�, i�l��� oo.���000 ao� � �da�y-di�, <br />LOT NO. � BLOCK <br />DESC. <br />cor�rRncroA <br />Sam� AS a�oVZ <br />PHONE <br />PROPOSED USE OF BUILDING <br />S�p� <br />CONTRACT PRICE OF WORK <br />WORK DESCHIPTION <br />�� � \ <br />� r• <br />ADDRESS <br />� Building Mechanical <br />PEHMI7 Combinalion � Plum6ing <br />TYPE Demolition Sign <br />Sprinkler <br />\rl � , O�p . C�J <br />��� <br />O <br />p22-X'� <br />N0. I TYPE OF Fl%TURE OR REM <br />WATER CIOSET 1 / � <br />BATHTUB �I <br />LAVATORY (WASH BASIN) //// <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />qsa�� (� b53-3�►{g <br />PHONE <br />:�cpo�b53- 3�N� <br />LP CONTR. 4CENSE M <br />RID6EHI03a IV1P <br />�Additiat HEAT SOURCE <br />Al�era�bn �Elactrit <br />New Gaa <br />fiepaiUMeinl. OtMr <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />N0. � TYPE OF flXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CIOTHES DRYER <br />RANGEHOOD <br />WATERf�EATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN //�/ <br />OTHER <br />I HEREBY CERIT�FY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WOHK WILlBE COMPIIED WITH WHET}1ER SPECIFIED HEREIN OH <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHURITY TO VIOLATE OR CANCEL THE PROVISION OP ANV OTHER <br />STATE OR LOCAL U1W flEGUU1TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TNE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICM APPLICATION IS MADE AND i COMPIY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />