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SITE ADDRESS <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />TENANTNAME <br />CONTRACTOR <br />PHONE <br />PROPOSED USE OF BUILOINO <br />CONTRACT PRICE OF WORK <br />WORK DE9CRIPTION <br />MIT APPLICATI4 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, NIA 98201 <br />425-257-8810 — FAX 425-257•6857 <br />BLOCK I �A� <br />WO. � TYDE OF fl%TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <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 (SERVICE/BARIMOP/ETC.) <br />OTHER <br />Pf�RCEL TAX I.�. • <br />ICONTACTNAME <br />ADDRES9 <br />Building Mechanicel <br />PERMIT B COmbinetion R Plumbfng <br />TYPE D Demolillon D Sign <br />D SpNnklAr <br />m <br />�f 9907-oz% <br />��Z <br />PHONE <br />CONTP. UCENSE � <br />(� Addifbn <br />�_� Alleralion <br />�.� N.W <br />L.! axpatr�Memi. <br />MEATSOURCE <br />n Elactrk <br />B Oae <br />omar <br />CITV OF EVERETT LOCAL 9ALE4 TAX COOE IB J105 <br />N0. I TYPE OF fl7(TURE OR ITEM <br />A/C — AlFiANDLING UNITS <br />FORCED Alq SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />�CLOTHESDRYER <br />RANf3E HOOD <br />� WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />�[_ QAS FIHEPLACE <br />OAS RANOE <br />� GAS PIPINO <br />/�. EXHAUST FAN <br />_ OTHER <br />I HEREBY CERITIFY THAT I HAVE HEAD ND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br />PRO'rISIONS OF U1WS ANO ORIDI GOVERNING TF�S TYPE OF WORK WILL BE COMPLIED WITH WHEiHER SPECIfIED HEREIN OR <br />NOT. THE GRAt�TING OF A F S NOT PRESUME i O 61VE AUTMORIN TO VIOUTE OF CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOC�AL lA NSTRUCTION OR TME PERF017MANCE OF CONSTRUCTION. THAT 1 AM AUTMORIZED BY TME <br />OWNER OF 71fIS P RM THE WORK FOR NMICN APPIICATION IS MADE AND I COMPLY WITM 7HE STATE <br />cntiraar.rrE'a5 Z98.200 WAC. <br />