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�� <br />PLr�MIT APPLICATIC J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />2/ <br />NAME <br />CONTRACTOR <br />�Jr�c/ � s <br />PHONE <br />S <br />_.� <br />IGurv1AGTfVAf4E <br />� CC/y ADDRE� � <br />s��v��c-% t�� <br />� <br />d�/- J / ' <br />PROPOSED USE OF BUILDING <br />CON7RACT PR�CE OF WORK <br />� <br />Building f"1 Mech2nical <br />vERMIT Combination Yl$cY Plumbing <br />TYPE Demolition U Sign <br />Sprii iler <br />WORK DESCRIPTION <br />l.e�c:�- (�(,�.-a� � �,,.,,..-� <br />r�umcir <br />INO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SNOWER <br />K�TCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PRE`IENTEFi <br />SINK (SERVICE'BARlMOP/ETC.) <br />OTHER <br />/ <br />� <br />PHONE <br />ZIP CONTR. LICENSE M <br />,� �UC—S S �l � sv�E� <br />�Addition HEAT SOURCE <br />Alteration �i Eleclric <br />New F�. Ges <br />FepaidMainL LI Othar <br />CITY OF EVERETT LOCAL SALES TAJf COOE IS 3105 <br />NO. � TYPE OF FIXTURE OR ITEht <br />_ A/C—A/HANDLINGUNITS <br />_ FORCED AIR SYSTEMS <br />HEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DHYER <br />_, RANGE HOOD <br />_ WATER HEATER <br />METAL FIREPLACE/STOVE <br />_ FIREPLACE INSERT <br />_ GAS FIREPLACE <br />_ GASRANGE <br />_ GAS PIPING <br />_ EXHAUSTFAN <br />_ OTHER <br />I HEREBY CERITIFY'4AT I HAVE READ AND EXAMINE� THIS APPLICATION AND KNOW TNE SAME TO BE TRUE ANp CORRECT. ALL <br />PROVISIONS OF LAWS AN� ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEPEIN OR <br />NOT. THE GRANTING OF A PEFPdIT �OES NOT PRESUME TO GIVE AUTh'ORITY TO VIOt�1TE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHOR�ZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORh1 THE WORK FOFi WHICH APPLICATION IS tdADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.�?+' RCW AND 29620� WAC. <br />