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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS D PARCEL TAX I.D. III PERMIT a <br />jn <br />S_ D G3o 1 on� <br />LEGA LOT NO. BLOCK TRACT <br />TENAIN -NAME CONTACT NAME PHONE <br />L, o LJr Q—C S'3 - ?'-2 /2 y <br />CONTRAC,T�,Tjjn R �7 / AQDR.ESSS ZIP CONTR. UC.NSE N <br />PHONE `�� 3 - qi7 c Ji�l <br />Build <br />han <br />CE <br />PROPOSED USE OFBUILDING I TYPErc Combination {Demolition ofP Ma bingel ITYPEK Repreationir/Meinl I HEAT Seas <br />Is [j ILIFJ((� <br />NAO <br />P <br />Other <br />CONTRACT PRICE OF WORK 1 CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION I A ^ r (� O ^ a �] Cl �� �,(_, ,� LI- • 10c) C+ �, 0� r, O f rn U u44, <br />( - f y1�f Y� � -b 'X \ Fu �l h erl.&\\\1 v 1 �/ J <br />PLUMBING <br />NO, TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR II"EM <br />_ <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />Cl OTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />_ <br />_ <br />A/C - AIHANDLING UNITS <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 />_ <br />I 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 />OONTRACTORS LAW 1827 RCW AND 200.200 WAC. <br />pia--� <br />