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PERMIT AF'Pl ICA i ION <br />CITY OF EVERETT PEk.VIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />EITE ADD/R/ESS <br />T� � <br />DESC. <br />TENANT NAfBL <br />CONTRACTOR <br />�, r�v �sc o rn Ec H <br />PHONE <br />PARCEL TAX I.D. il <br />E T 5� _ '__ <br />BLpCI( TRACT <br />ADDRESS <br />I COtJTACT FOR PERMIT <br />PERMIT # <br />PHONE <br />M�DRE55 ZIP CONTR. LICENSE # <br />'f�135 C Nlaa.�„�a. b.fa•� �.,$.,,.o„aa �2oz s�,.c sz <br />��a.r�c, 6,/a 4813'} <br />PROPOSEDU3EOFBUILOING pERM1T � Sprinkieation R Plunbingal WORK h( Repair/Main�, I HEA� O�I�RCE <br />TYPE ) Demoli�ion p Sign TYPE L� New Gas <br />CONTRACT PNICL OF WORK CIIY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />WORK Dt�SCRIPTION <br />N0. I TYPE OF FIXTURE OR ITEM <br />3 WATER CLOSET (TOILET) <br />BATHTUI3 <br />� LAVATORY (bVASH BASIN) <br />_� SHOWER <br />KITCHE�I SINK 8 DISPOSAL <br />CISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />_� URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />l� BACKFLOW PREVENTER <br />� SINK (SERVICE/BAR/A10P/E' <br />2 -Lo�o <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C -A/HANDLING UNITS <br />FOP.CED PIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLNCE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXhAUST FAN <br />I HER'_BY CERITIFY THAT I HAVE READ AND E,�(Ah11NED THIS APPLICATION AND KN01N THE SAME TU BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LHWS AND O�IDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPUEO W ITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERAfIT DOES NOT PFESUM1IE TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF HNY OTHER <br />STATE OR LOCAL LAW REGUWTING CONSTRUCTION OR THE PERFORM1IANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO FERFORM1I THE WORK FOR WHICH APPLICA710N IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS L,N 1827 RCW AND 296200 WAC. <br />�Ji/� / / i � 12/A/o � <br />" �'�% ..✓K� <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTFD <br />