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CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 98201 <br />425-257-8810 —FAX 425-257-8857 <br />SITE ADDRE <br />PARCEL TAX I.D. p <br />RMIT p <br />=EAU-8q��,` <br />�� -od <br />LEGA LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />21,1Pµ1 PHONED <br />OWNER ADDRESS�� <br />—I <br />�C2c`1 ��rZCip <br />TENANT NAME I <br />CONTACT FOR PERMIT PHONE <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE M <br />PHONE <br />PROPOSED USE OF BUILDING <br />PERMIT <br />ding f� Mechan(cal <br />Ntribination PlumbngWORK <br />AddlBon <br />Alteradon <br />R <br />HEATSOURCE <br />I7 b16cVlc <br />TYPE <br />Demolition Sign <br />TYPE <br />New <br />Gan <br />Sprinkler <br />RepalrlMalnt. <br />L Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />PLUMBING MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />A/C — A/HANDLING UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK 8 DISPOSAL <br />CLOTHES DRYER <br />_ <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />_ <br />URINAL <br />FIREPLACE INSERT <br />_ <br />DRINKING FOUNTAIN <br />_GAS <br />FIREPLACE <br />_ <br />FLOOR DRAIN <br />_GAS <br />RANGE <br />_ <br />BACKFLOW PREVENTER <br />GAS PIPING <br />_ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />_ <br />OTHER <br />OTHER <br />THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />I HEREBY CERITIFY <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 1 AM AUTHORIZED BY THE <br />���0 PERFORM THE WORK F W CH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT CW AND 298.200 WAC. <br />=.,,:.nt,. <br />Signature of tonAuthorized Agent ate <br />DEBIT &CREDIT CARDS ARE NOT ACCEPTED <br />�ERMIT APPLICATIONLIiYOF EVERErt PEPMIi SERVICES�m�ovu�Vas�eevvmv14^C..AMo.s.on.�Cam'y�an�i..a........—��ry4µiw`vT0e�.�_�a"'wE`���oe APPLICATION <br />