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� <br />� <br />N0. <br />� v� <br />CONTHACTOR <br />_ _OWN��Q <br />PL��MIT APPLICATIC�rd <br />CITY OF EVERETT PERMIT SER1/ICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAl( I.D. k <br />� D�C <br />TRACT <br />�#u�'+i L L /?%G� <br />ADDRESS <br />��09 s���,e� �,� <br />/C/ONTACTNAME <br />�!l�l2�v�ti or �Ue <br />AODRESS <br />i�oq suar��e i- Lij/ <br />�� <br />`12S 25�/9�5 <br />PMONE <br />��z5z5 � �9�- <br />LP CONTR. LlCENSE � <br />��20? . <br />PROPOSED USE OF�,��,' Building fl Mechenical AOOition MEATSOURCE <br />r� � �" / f7WPi�%" �/ PERMIT � Combinetion K Plumbing WOPK � Alteration j7 Electric <br />'CL+t,O'( COYiIIyj� /�c�/ TYpE Demolilion �� Sign TYPE New D 6as <br />� Sprinkler RepairlMeint. D Other <br />�L10.?O�l/�' Ahiit 1Ysf/ <br />CONTRACT PRICE OF WORK <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />1JI�CK �oCKn�l' fOu.H.C/c✓�ON O Y ��.C/; �� !N I7XiLYf AQG4il�� �CN <br />✓ <br />�'or.w�d�„d7oH. ���c,�J�i- <br />PLUMBING � <br />NO. I TYPE OF Fl%TURE OR REM <br />WATEP CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />�i fCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICElBAR/MOP/ETC.) <br />� OTHER ThuJ�,v <br />NO. I n'PE OF FlJ(TURE OR ITEM <br />A/C -A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CIOTHES DRYER <br />, IANGE HOOD <br />WATER HEATER <br />METAL FIREPLACElSTOVE <br />FIFiEPLACE INSERT <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER TmWP.✓ _ <br />I NEFiEBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COPRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />ST4TE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />ONVER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CO qACTOAS U W 1, W AND�96.200 WAC. <br />/�f� , <br />/ o,r,aA�r�,.,, �',`���,�idV�- - 7- � 7�O 2 <br />