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PFRMI T APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETii, WA 98201 3 .Ir <br />425-257-8810 - FAX 425-257.8857 <br />..i E ADDRESS PARCEL TAX I.D. # LR9 <br />21,- 00 <br />LEGA LOT NO. BLOCK TRACT <br />DESC I v _ <br />CONTRACTOR _ ADDRESS y�� �n ZIP CONTR. LICENSE <br />PHONE <br />al t <br />PROPOSED USE OF BUILDING <br />Buildino Mechanical <br />Audition <br />HEAT SOU'C' <br />PERMIT <br />Combination <br />B Plumbing <br />Alteration <br />^ E - <br />TYPE <br />Demolition L , Sign <br />(WORK <br />TYPE UU New <br />_ <br />Sprinkler <br />Li Recawhiamt. <br />- :m <br />CONTRACT PRICE OF WORK `� �� \ �`� <br />I CITY OF EVEREi 7 LOCAL SALES TAX CODE 15 31 L: <br />WORK DESCRIPTION <br />PLUMBING <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEid <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PRE' ENTER <br />SINK (SERVICE.IBAR/MOPIETC.) <br />OTHER <br />_ A/C — AIHANDLING UNITS <br />_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />_ RANGE HOOD <br />_ WATER HEATER <br />_ METAL FIREPLACE/STOVE <br />_ FIREPLACE INSERT <br />_ GAS FIREPLACE <br />_ GAS RANGE <br />_ GAS PIPING <br />EXHAUST FAN <br />t <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS CF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE CR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE 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 />'RACTORS LAW 18.27 RCW AND 296.200 WAC. <br />