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PF9MIT APPLICATION -07 <br />CITY &- EVERETT PERMIT SERVICES <br />�r 'ZOO CEDAR STREET, EVERETT, . VGA 9820' <br />425-257.8810 — FAX 425.257.8857 <br />PARCEL TAX I.D. <br />_l ,,_ <br />LEGALL LOT NO. I BLOCK TRACT <br />DESC <br />� PHONE ), IR 1 11 , `� V 1 t 0A 11 I`1 �ADDRESS� �lJl 7TR. LICENSE _ - <br />(71 <br />PROPOSED USE OF BUILDING I BUilaing �� Mecnentcal Aotlttion HEAT SOU: <br />PERMIT Combination rj---')' Plumbing WORK , Alteration <br />TYPE Demolition L i Sign iTYPE _) New L> Cac <br />Sonnkler Eecainr.tmnt. ..tne- <br />CONTRACT PRICE OF WORK a '� " I CITY OF EVERETT LOCAL SALES TAX CODE IS 310E <br />WOR(KNL`u'RIPTION <br />NO. <br />I <br />TYPE OF FIXTURE OR ITE11.1 <br />_ WATER CLOSET <br />BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK 3 DISPOSAL <br />_ DISHWASHER <br />_ LAUNDRY TRAY <br />_ CLOTHES WASHER <br />URINAL <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK ISERVICE'BARIMOP!ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />A!C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACESTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />r1TL�C0 <br />L <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT_ ALL <br />PROVISIONS CF 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 LCCAL 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 />'+ACTORS LAW '8.27 RCW D 296,200 WAC. <br />Sionstutelof Gwnerrontr ou orizea Agent mare <br />