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PFRMIT APPLICATION <br />CITY Ur EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 - FAX 425.257.8857 <br />..r i E ADDRESS . _ , _ I PARCEL TAX I.D. # <br />LOT NO. I BLOCK I TRACT <br />DESC. <br />�ONTgACTOR <br />y\ot- T\re WMeMY)11Ylc <br />PHONE <br />�; GPI 1- affin <br />PROPOSED USE OF BUILDING <br />PERMIT <br />TYPE <br />ADDF15 ,D�I /��D - /file' E. ZIP <br />---a of " 9 <br />Building j� Machanical <br />Combination �G", Plumbing <br />Demolition Sign <br />M <br />PHONE <br />(AS — e� <br />CONTR. UCENSE s <br />D Aodition <br />WORK I Alteration <br />TYPE ! New <br />J ReoalvMaint. <br />HEAT SOURCE <br />Eiectnc <br />CONTRACT PRICE OF WORK A <br />1 )—^(Yl I CITY OF EVEREir LOCAL SALES TAX CODE IS 3ILL <br />WORK DESCRIPTION I I <br />I <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICrJBARIMOP/ETC.) <br />p`T <br />_ <br />_ <br />_ <br />— <br />AIC- A/HANDLINGUNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />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 WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />'nAr.TnQS I AW I 97 Frly ANn 90a grin WAr <br />