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SI7E <br />3/0 <br />LOT NO. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />TENANTNAME � <br />CONTRACTOR <br />PHONE <br />PROPOSED USE OF BUILDING <br />CONTRACT ppICE OF WORK <br />WORK DESCRIPTON <br />PLUMBI� <br />NO. � TYPE OF Fl%TURE OR REM <br />PARCEL TAX I.D. k <br />BLOCK TRqCT <br />ADDRESS <br />l L/ � <br />ICONTACT <br />ADDRESS <br />_ WATER CLOSET (TOILET) <br />_ BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK & DISPOSAL <br />_ DISHWASHER <br />_ LAUNDRY TRAY <br />CLOTHES WASHER <br />_ UR�NAL <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />PERMIT k <br />LP PMONE�j2 s 2s-2 2� y� <br />i � � _ .. / <br />Building Mechanical <br />PeRM1T R Combinetion R Plumbing <br />TYPE D Demolition p Sign <br />D Sprinkler (N of heads) <br />PMONE <br />aP CONTR. UCENSE � <br />Additbn I NEAT SOURCE <br />Alteratbn Electric <br />New Gas <br />RepeiqMeinL Other <br />CRY OF EVERETT LOCAI SALES TAX CODE IS 3f 05 <br />NO. � TYPE OF Fl%TURE OR ITEM <br />_ A/(:—A/HANDLINGUNITS <br />_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />_ RANGEHOOD <br />_ WATER HEATER <br />METAL FIREPLACE/STOVE <br />_ FIREPLACE INSERT <br />_ GAS FIREPLACE <br />GAS RANGE <br />_ GAS PIPING <br />_ EXHAUSTFAN <br />_ OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIOINACES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESl1ME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCT�ON OR TNE PERFORMAtJCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br />