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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />( 425-257-8810 - FAX 425-257-8857 <br />k I iy-1 c_ <br />SITE ADDRESS PARCEL TAX I.D. # PERMI i # <br />hj-k-� - -___ 00y3`i1-16"1000.E <br />LEGAL LOT NO. LOCK TRACT _1 DESC. 6 - Lcl 3 <br />OWNER ADDRESS ZIP PHONE <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />GONIKAGfOR ADDRESS <br />ZIP CON i R. <br />LICENSE# <br />PHONE <br />PROPOSED USE OF BUILDING <br />I Building <br />Combination PERMIT N <br />Combin <br />Mechanical <br />Plumbing(WORK <br />Addition I <br />Alteration <br />HEAT SOURCE <br />Electric <br />TYPE Demolition <br />Sign <br />TYPE <br />B New <br />Gas <br />Sprinkler <br />RepairrMaint, <br />Other <br />CONTRACT PRICE OF WORK I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION I <br />��C�—a��S� V?v�IG�i ✓� <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <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 />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />__ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />A/C — A/HANDLING 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 />OTHER <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF 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 OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TyiE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 29:, 0 WAC. <br />i\A, -A u <br />I <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />