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� / <br /> PERMIT APPLI�;ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE"I', EVERETT, WA 9820' <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.4 PERMIT a <br /> / C� e�P�t wa Po� �a-oo <br /> LE(iA LOT NO. BLOCK TRqCT <br /> DESC. <br /> OWNER ADORESS <br /> ZIP PHONE <br /> Cn.' CS/'A,-1�t y .S - 5'9� <br /> �M E I CONTACTNAME PHONE <br /> CO CTOR ADDRESS ZIP COMR.IJCENSE� <br /> PHONE �� <br /> PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOURCE <br /> PERMR B Comuinatlon R Plumbing WORK B Alteratlon D pechk <br /> TYPE D Demolit(on p Slgn 7YPE D New � (�s <br /> U Sprinkler U RePeo-�nnain� omer <br /> CONTRACT ppICE OF WORK C1fY OF EVERETT LOCAL SALES TAIt CODE IS 3106 <br /> WORK DESCRIPi10N � <br /> i <br /> , <br /> . S <br /> n <br /> i <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF flXTURE OR REM N0. TYPE OF FlXTURE OR REM � <br /> i <br /> _ WATER CLOSET _ A/C—A/HANDLINQ UNITS •' <br /> _ BATHTUB _ FORCED AIR SYSTEMS ] <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS � <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER ', <br /> _ DISHWASHER _ RANOE HOOD <br /> _, LAUNDRY TRAY _ WATER HEATER <br /> _ CIOTHES WASHER _ METAI.FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT + <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RANOE <br /> BACKFLOW PREVENTER _ GAS PIPINQ ' <br /> � SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN � <br /> ._ OTHER _ OTHER i <br /> , � <br /> 1 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AN�KNOW THE SAME TO BE TRUE AND CORpECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE�RANTING OF A PERMIT DOES NOT PRESUME TO OIVE AUTHORITY TO VIOUITE OR CANCEL THE PROVISION OF ANY OTHER � <br /> STATE OR IOCAL LAW REGULATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TF1E i <br /> OWNER OF THIS PROPERTY TO PERFOqM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 298200 WAC. <br /> ignature o er/ ontractor ut o�ized gent ate <br /> � <br />