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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 ADDRESS I PARCEL TAX I.D. • <br />/7'�02 M�Oo.v,/Ca �NE <br />LOT NO. <br />CONTpACTOR <br />PHONE <br />PROPOSED USE OF BUILDING <br />BLOCK I TRACT <br />ADDRESS <br />%3 oz n-. t pcn..f{o H-�F <br />Fvc�lc�r w,t. 9�''20.3 <br />ICO ACTNAME <br />ADDRESS <br />Building III��� Mechanical <br />PERMI7 � Combination 6� Plumbing <br />TYPE Demolilion � Sign <br />Sprinkler <br />Z1P <br />WORK B <br />TYPE D <br />U <br />PERMIT M <br />PHONE <br />CONTR. LICENSE M <br />AtlAition I HEAT SOURCE <br />Alleration Elactric <br />New Ges <br />ROpair/Maint. Other <br />CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DF.SCRIPTION <br />Cf1�'.��jE ��CYI /�T `"'���2 r�.�K �F�-C-�r[�c� <br />NO. � TYPE OF FIXTURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PR=VENTEP <br />SINK (SERVICEBAR/MOPi�TC.) <br />OTHER_ <br />NO. I TYPE OF flXTURE OR ITEM <br />A!C — A/H.4NDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CEFiITIFY THAT � HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TqUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOIhTE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CON;iTRUCTION OR THE PERPORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLIC.4TION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />2?n-U ✓0 � <br />