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SIiE ADDRESS <br />LOT NO. <br />NAME <br />� PERMIT APPLICA`� ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAX I.D. k RMIT x <br />3 9/- �3 � -o�o �30��18' <br />BLOCK I TRACT <br />CONTACTNAME <br />i�to! `i2s = <br />PHONE <br />���Y� ���.�z N 21'-1 s�5 - 9lG6' <br />CONTRACTOR ADDRESS LP CONTA.LICENSE� <br />PHONE �•E��% <br />PROPOSED USE OF BUILDING <br />�lo� ��:1d� <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTON <br />I PERMIT <br />I TVPE <br />DOD <br />�'���.� �, .-fn s <br />NO. I TYPE OF FU(TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DI£HWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVIC6'BAR/MOP/ETC.) <br />OTHER <br />Building n Pdechanical <br />Combination r"5 Plumbing <br />Demolition � Sign <br />Sprinkler <br />�ddition <br />Alteration <br />ew <br />Repair/Meint. <br />HEATSOURCE <br />D Electric <br />D Ges <br />�� ��he� <br />CITV OF EVERETT LOCAL 3ALES 7AX CODE IS 3105 <br />�� � /�.�N L� �4� � <br />NO. I TNFE OF FlXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHESDRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY C[RI71FY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TP.UE AND CORRECT. ALL <br />PROVISIONS OF LA1h'S AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br />NOT. THE GRANTING OF A PEflMIT DOES NOT PRESUME TO GIVE AUTHOR�TY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEF <br />STATE OR LOCAL L4W REGUL4TING CONSTRUCTION OR THE PERFOfiMANCE OF CONSTRUC7ION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TIiIS PROFERiY TO PERFORM THE VlORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />�CCEPTED <br />! <br />L <br />