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R :RMIT APPLICATI�s N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREEI'. EVERETf, N/N 98201 <br />425-257-SS10 — FAX 425- .:7-8857 <br />SITE ADDRESS <br />� D�J �l�tE <br />LEGA LOT NO. <br />DESC. G� � L�,,,�I <br />O YNER <br />��J ����� <br />TEhJANT NAh7E <br />r .-��� � � <br />CONTRACTOR �� � <br />PHONE <br />PROPOSED USE OF BUILDING <br />���P.��r- <br />CONTRACT PRICE OF WORK � <br />PARCEL TAX I.D. H <br />�l �!b ql-lq2 3� <br />BLOCK TRACT <br />ADDRESS <br />�qU', �i�ccfl,E� ��� <br />CONTACTNAME <br />� I�,w �►�-� <br />� ADDRESS <br />WORK DESCRIPTION �%�� � I <br />�p�- � L�1�i-�q'� <br />NO. I TYPE OF FIXTURE OR REM <br />WATEA CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SINK 8 DISPOSAL <br />LAUN YTRAY <br />CLOTH WASHER <br />URINAL <br />DRINKING OUNTA <br />FL00f; DRA <br />BACKFLUW P VE <br />SINK (SERVIC F <br />� <br />.,o�!f. 6uilding Mechanical <br />PERMIT I ) Combination�Plumhing <br />TYPE Demalilion Sign <br />Sprinkler <br />n <br />PHONE <br />�-a-�����- <br />ZIP CONTR. LICENSE M <br />...QQQ Addition HEAT SOURCE <br />WORK �Alteralion �Eleclric <br />TYPE New Gas <br />f;epair/Mainl. Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />,, r , i. .. h .��, , ; , , , r„ • <br />�; ., , , e i . � � � �, <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMSj <br />HEAT PUMP / <br />UNIT HEATERS <br />METAL F PLA( <br />FIREP NSE <br />GAS F EP E <br />PIPING � <br />1UST FAN <br />� <br />i I HEREBY GERITIFY THAT I HAVE FiEAD AND EXAMIIJED THIS APPLICAT�ON AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIOINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WIIETHER SPECIFIED HEREIN OR <br />• NOT. THE GRANTIMG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF 5 PPOPEFTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />�Q�,�W 1827 FCW AND 296.200 WAC. <br />�'� ��W I, <br />