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PERMIT APPLIGAI� �ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98[01 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � 'Se Ma i ne.AVE rY1�3i/ -��— <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. i <br /> O Ely� R � ^ ADDRESS ZIP PHONE � <br /> �� � � Ov � a 15 e M�tRi �ync. AVE `1d2D8 ��( 25� �10 - 905 <br /> i R � e i <br /> 1'ENANTNAME I CONTACTFORPERMIT PHONE <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> q8208 <br /> PHONE 42$� � � D - q0 5 � (5e ,MQ �l I rnP <br /> Pk.:POSED USE OF BUILDINCi Building I� Mechanical AddiUon MEAT SOURCE <br /> ` PERMIT � COmbinati0n �_� Plumbing WORK � PJterelion � ElecUic <br /> S i n q I e / �(!� A �y T�'PE Demolilion �J Sign TYPE New Gas <br /> Sprinkier RepairlMaint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br /> WORK DESCRIPTION • <br /> Ins�a � � Fi�e PlaCe On PKoPuN� ,� c�as P ' �'e fo,e F�,ee <br /> �'/ase and � �XaS� Fo�e F��ee ���Se , � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. . TYPE OF FIXTURE OR ITEM i <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS � <br /> BATHTUB FORCEU AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP ! <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT N� � <br /> DRINKING FOUNTAIN ( GAS FIREPLACE �P I F��e P�ce � P�P� G S <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER � GAS PIPING <br /> SINK(SERVICElBAFJMOP/ETC.) 1_ EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I 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 WORK WILL BE COMPLIED V�'�TH WFiETHER 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 WW REGULATING CONSTRUCTION OR THE PEnFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR 1NHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 2'36.200 WAC. <br /> , �/ 11�1��03 <br /> SignaWre of OwnerlG�n actodAuthonzed Agent ate <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED , <br />