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SI7E ADDRESS <br />LOT <br />TENANTNAME <br />CONTRACTOR <br />F'ERMIT APPLICA��ON <br />CITY OF EVERETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />PHON£ jA �E � �� � <br />'�' -- <br />PROP09ED USE OF BUII.DING <br />CONTRACT PRICE OF WORH <br />PARCEL TAX I.D. N <br />CONTACTFOR <br />�r,�c� � <br />AUDRES9 <br />Buiidinp Mechanical <br />PERMIT Combinatlon Plumbinp <br />TYPE Demolltion � Sign <br />Sprinkler <br />WORK UESCRIPTION ��� <br />�� <br />PLUMBING <br />N0. I TVPE OF FIXNR[ OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />IAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSA� <br />DISHWASHER <br />LAUNDRY TRA`� <br />CLOTHES WASHEI'. <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENT[:R <br />SINK (SERVICC/BAF7IM0� /ETC.) <br />OTHER_____ <br />� <br />C C� � <br />>>� �-oy3 <br />IT N <br />PHONE <br />�3U�) �S6 -vP'� °f <br />ZIP CONTR.LICE_I{S��fo� <br />tXp121e.S li101 <br />(�GgTI�!- 4�HSH <br />�Addlllon I HEAT90UqCE <br />Altarallon � Elecidc <br />New Gaa <br />Repalr/Malnl Olher <br />CITY OF EVERETT LOCAL SALE9 TAX CODE IS 1107 <br />MECHANICAL <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNITS <br />� FOR�EDAIRSYSTEMS <br />_ HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES DRYER <br />�RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />,� GAS MPING <br />_y_ EXHAUST FAN <br />OTHER <br />I HEREB� CERITIFY THA7 I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDIN�CES GUVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOi. THE GRANTING OF A PERMIT DOES NOT PRESUME TU GIVE AUTHOFIN TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE OR IOCAL LAtN REGULATING CONSTRUCTION UR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITH 7HF STATF <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />