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I <br /> PtRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.i� PERMiT p <br /> '�� Z 1Z�c1 '� .17G3D7-0� <br /> LEGAL LOTNO. LOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 ZIP PHONE <br /> 't'UF�11'2 ��ri. I�O'�Z �S�" Av�f_ S�. �v1t-..tl q8012 N2S�Y3 l�l� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> CONTRACTOR AODRESS ZIP CONTR.LICENSE# <br /> PHONE <br /> PROPOSEDUSEOFBUILDING pERMIT 1-S Sprnk'Iealion R Pl9mbingal WORK K RepairolMaint HEATSEIecRtnc <br /> TYPE H Demolitian � Si n TYPE �.._( New Gas <br /> ��� L/ U Olher <br /> CONTRACT PRICE OF WORK CIN OF EVERETf LOCAL SALES TAX CODE IS]105 <br /> WORK DESCRIPTION <br /> ,/ �n1 � <br /> 1—�' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATERCLOSE"i(TOILFT) A/C—A/HANDLINGUNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <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 <br /> DRINKING FOUNTAIN GAS FIREPIACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BARlMOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAA1E TO BF TRUE AtJ�CORRECT. ALL <br /> � PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS.NPE OF WORK WILL 8E COMPUED WITH WHETHER SPEGFIED HEREIN OR I <br /> INOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER � <br /> STATE OR LOCAL LAW REGUL4TING CONSTf'.UCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM T'�fE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TI1E STATE <br /> CONTRACTO LA�18.27 RCW 4 296200�VAC. <br /> � <br /> SignaWre of 0� er�Contractor uthonzed Agent Date <br /> � DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> , <br />