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�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADURESS ��he i U pARCEL TAX I.D.# ' MIT# <br /> I I I 1 �' �c S�� v o3-oa�� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> IJ�►�}��, �.,��� S�we... 11C� 1� 19�" �vE s,� �,,�y�}. 987,v8, <br /> TENANT AME CONTACT FOR PERMIT PHONE <br /> � M -��UTG��-��uvnb�n lumbin - <br /> CONTRACTOR ADDRESS � � ZIP CONTR.LICENSE# <br /> �� � <br /> PHONE I��OO - 8�"� 7�OJ� I�� J'� ��� 1�'' �1��7 �OZZF'� <br /> PROPOSED USE OF BUIL�ING Building Mechanical Addilion HEAT SOURCE <br /> PERMIT R Combination � Plumbing WORK � Alteratlon � Electric <br /> 1YPE D Demolitiun Sign TYPE New Gas <br /> U Sprinkler Repair/Maint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERE'T LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> � BATHTUB FORCED AiR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK& DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> � LAUNDRYTRAY _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER_ <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> � PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF N'ORK WILL BE COMPLIED WITH�A'HETHER SPECIFIED HEREIN OR <br /> N . THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY?O VIOLATE OR CANCEL TNE PROVISIQN OF ANY OTHER <br /> AT OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> W ER OF HIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COh1PLv yyITH THE STATE <br /> C TRAC' W 18.27 RCW AND 296.�00 WAC. <br /> ` �� �b�- <br /> Sig n ContractodAuthonzed Agent D te <br /> � DEBIT & CREDIT CARDS AR� NOT ACCEPTED <br />. <br />