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P�RMIT APPL9CATIC,N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-25'-8810 - FAX 425-257-8857 <br /> P,� 305- 0 �� <br /> SITE ADDRESS � P CEL T i, . PERMIT# ��, <br /> f�r� IC - U��'� 1'��) � ��1 � ; � �� � `,�I i0 c: ��s- ov �� <br /> DESCL LOT N0. � BLOCK � TRACT \ � ����� r'� ���� ��� ��� ' <br /> 1 <br /> L V l <br /> OWNER � � � AD�ESS �����JI� ��, ��P � P ONE <br /> ����� � �«�� � Iu���. ����� �� IuE��� ��►������� �Ur.��i �,,� �� �a <br /> TEhANT NAME . CON ACT FO PE�2MIT� PHONE <br /> �`���� � Iw ilv�)� <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> PHONE \ <br /> ����,1��� <br /> PROPOSrEDUSEOFBUILDING pERMIT --j��i Combination R�1 Plumbingal WORK }R,( Aldlera'lion HEATS�eRCc <br /> \ \ \/ 7YFe ��..j Demolition u Sign 7YPE ,�New ,�Gas <br /> j � L� Sprinkler �U�epaidwainc �U�fher <br /> CONTRACT PRICE OF WORK CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> � <br /> ���,��� �)`�' ��; <br /> ,�'���� ,� 3 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. 1YPE 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 UI�IT HEATERS <br /> KITCHEN SINK G DISPOSAL CLOTHES DRYER <br /> DISHWASHER � RANGE HOOD <br /> _ LAUNDRY TRAY � WATER HEATFR <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN � GAS RA�GE <br /> BACKFLOW PREVENTER � GAS PIPING (1 <br /> _ SINK(SERVICE/BAR/MOP/ETC.) � EXHAUST FAN I) <br /> _ OTHER _ OTHER / \�� <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 IVORK WILL BE COMPLIED WITH WHETHGR SPECIFIED HEREIN OR <br /> NOT. THE GRHNTIIJG OF A PERIAIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIC'.�TE OR CANCEL THE PROVISION OF AN7'OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION. TriAT I AM AUTHORIZF.D BY THE <br /> OWNER OF THIS PROPFR i 1'TO PERFOR'v1 THG WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �CONTRACTORS� LAW 8. CW AND 290200 4VAC. � <br /> ��"•\�I_.�'\V�`�✓ �� l \��L_�`� <br /> Signature of O�vn r ntractod uthorized Agent � Date 1� <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED � <br />