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!� ( <br /> PERMIT APPLICAl"14N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS f� ��� PARCEL TAX I.D.# P�G3�G�y <br /> � pQ J <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> !�✓, ��c� � UN �-✓ � S ) 9"�ZD� Yzs 7y7 3 / � <br /> TENANT NAME CO TACT FOR PERMIT PHONE <br /> � �� � / �' ) <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> PHONE <br /> C/���PROPOSEDUSEOFBUILDING pERM1T R SPldki1eation � Plumbngal WORK 1=( Repar/Maint. HEATSEe��E <br /> \ TYPE g Demolilion Sign 7YPE �_� New � Other <br /> � LJ <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> WORK DESCRIPTION � , / / —{� // <br /> �N S �'.// lj p�p �v r r�0-�� �r !'�,/p/l.Z� l( �l <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO.. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB ,� FORCED 11R SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER .�u UNITHEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUtITAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PRE'JENTER ,� GAS PIPING <br /> SINK(SERVICFJBAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFV THAT I '1AVE READ AND EXAMINEU THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAW�ANO ORIDINACES GUVERNING TiiIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEftEIN OR <br /> NOT. THE GRF,NTING O�:�PERMIT DOES NOT PRESUM11E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR lO�AL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF T!iIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTCRS LA 2 CW AND 296.200 . <br /> �.� � �I��,E S/�D/d � <br /> Sign ure of OwnedContractor/Authonzed A�t � D�� <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />