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SITE ADDRESS <br />_S/n <br />LEGAq LOT NO. <br />DESC. <br />OWNER <br />PEKMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />5/t <br />BLOCK TRACT <br />ADDRE <br />PARCEL TAX I.D. # <br />110'r, Z/ <br />PERMIT N <br />rn / <br />Cf Z�7 -290_ <br />YIEN��ANTN.,,A//ME r <br />CONTACT FOR PERMIT <br />PHONE <br />I <br />O6NTRACTOR <br />ADDRESS <br />ZIP CONTR. LICENSE N <br />18'Z�'I /9/VJ SOc/L K <br />PHONE <br />e/Z <br />�G'r•� <br />T - <br />PROPOSED USE OF BUILDING <br />PERMIT IWSCombination <br />PlumbinBuilding g al <br />Co <br />WORK <br />Ik�y <br />R"Repatl <br />OURCE <br />HEAFTDfr5Eectnc <br />I--( <br />TYPE <br />I <br />biination <br />Demolition Sign <br />TYPE <br />Iv.[ New <br />I„j Gas <br />L�{J <br />Malnt. <br />U Other <br />CONTRACT PRICE OF WORK <br />fj <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <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 (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />1_ <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 />_ <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 />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />1 <br />I <br />