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� <br />�r�ERMIT APPLI�.AI�ON <br />CITY OF EVERETT PERMIT' SERVICES <br />3200 CEDAR STREET, EVERETf, VVA 99201 <br />425-257-8810 - FAX 425-257-8657 <br />�r.� �/o- 033 <br />/�/U� ! <br />T[NANT AM <br />CONTRACTOR <br />PHONE <br />PR OSED E O BUILDING <br />�� <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NIP,�J �r,�' �/.7' <br />NO. I TYPE Of FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SINK & DISPOSAL <br />LAUNp12Y TRAY <br />CLOTH�S WASHER <br />URINAL � <br />DRINI<ING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLO�V PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />FOR PERMIT <br />ADDRESS <br />Building Mechanical <br />PERMIT � Combinalion � Plumbing <br />TYPE Demol�tian : gn <br />Sprinkler <br />ZIP PHONE <br />ZIP CONTR. LICENSE M <br />��f�t�' 113� s> <br />�Addition HEAT SOURCE <br />Alteration Qj Eleclnc <br />New Gas <br />Repair/Mainl . Olher — <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />NO. I TYPC OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP,% <br />UNIT HEATERS <br />CLOTH�S DRYER <br />�A�C�E HOOD <br />A7'�R HEATER <br />M L FIREPLACE/STOVE <br />5�R ,LACE INSERT <br />GAS RA E <br />GAS PIPI <br />EXHAUSTFA <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 />PRUVISIONS OF UWS AND ORIDINACES GOVERNING THIS.NPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A PERh11T DOES NGT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR� �Si,��W REGUf.�TING C�STRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNeR OF THI PERn' � o BERFO M THE \NORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTO LA 18h�.kc�o/AND 6.200 WAC. <br />& CREDIT CARDS ARE NOT ACCEPTED <br />�IL <br />