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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-2157.8810 — FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. # I P MIT # <br />LEGA LOT NO. BLOCK TRACT <br />DESC. �!(,. �� 'io 1� 1 i SLA� ( w5) 3,e;,54 1. <br />V. Lj LSOhL <br />TENANT NAME I CONTACT FOR PERMIT �QJ $I .PHQNE <br />`— 1lly l//. 1A�(L�C�I� <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE N <br />^HONE <br />PROPOSED USE OF BUILDING <br />PERMIT <br />Building <br />Combination <br />Mech gcal <br />Plumbing <br />naamon <br />WORK Alterallon <br />neni awn�.c <br />Electric <br />TYPE <br />Demolition <br />Sign <br />TYPE New <br />Gas <br />Sprinkler <br />RepanlMalnt- <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX <br />CODE IS 0105 <br />WORK DESCRIPTION <br />k00(- LJATO, /-,4(- rrz �t <br />/140*1 0 +IoJSc- <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 PREVEVTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER •IA rr 2 56LI CE <br />_ <br />_ <br />_ <br />__ <br />A/C — A/HANDLINC 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 />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 />CONTRAC RS LAW 18.27_ • FtCW 7� 200 WAG. 51A ?J <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />