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-. �_�:, I i r'J j1 O <br />.. . _ <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />/� <br />�D _ ESS��I �/� r <br />�, LOTNO. BLOCK TRACT <br />TEPIANi NAME <br />� �v � Jf <br />CQNTRACTOR <br />5/'l�a'��i1�� 5i <br />PHONE � �� y F.,' <br />;� �- �o�n� �1 <br />'7, �l�'%J <br />PROPOSED USE OF BUILDING <br />II I ���! J �Jl V �C <br />CONTRACT PRICE OF WORK <br />� <br />WORKDkSCR�PTION I'uN1i <br />l2�'TC -i �� �Caht nf <br />�n� db�-�, <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER C:OSET <br />BATHTUFi <br />LAVATORY (WASH BASIN] <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARIMOPIETC.) <br />OTHER <br />PARCEL TAX I.D. II <br />����1, � <br />ICONTACTFOR <br />����'n�_ <br />ASfDRE3S <br />l 7r'�.: y irrr,�-�� /'f-�'� /1/ <br />:S/1���(i,�� 1J14-_ � <br />Building DMechanical <br />PERMIT Combinalio� U Plumbing <br />7vPE Demolilion IS�}Sign <br />� Sprinkler <br />�� �n <br />5 J,15 (' <br />/��GMumG(�" <br />y �3- <br />iT.[�]:L <br />LP CONTit.LICEN9Ei <br />� SNURe"'R� /S� <br />�Atltlttion XEAT SOURCE <br />Atteratlon ��� <br />New Gas <br />Repalr/Malnt. Olher <br />CITI OF EVERETT LOCAL 9ALES TAX CODE IS 3105 <br />�`�''� �� � <br />� <br />'= 5���; n ��, <br />NO. I TYPE OF FI%TURE OR REM <br />AIC — AIHR.NOLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />GLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS Rl+NGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />! 4EREBY CERITIFY THAT 1 HAVE READ AND E%AMINED THIS APPLICATION .4ND KNOW THE SAME TO BE TRl1E ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDIMACES GOVERNING THIS TYPE OF WORK WILL BE CONPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN Tl� VIOU'�TE OR CANCEL THE PROVISION OF ANY OTMER <br />STATE OR LOCAL LAW REGULATIHG CONSTRUCTION OR THE PERfORMANCE OF CO�:STRUCTION. THAT I AM AUTHORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR W HICH APPLICATION IS MADE AND I COMPLY W ITH THE STATE <br />�CCEPTED <br />