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i � <br />P�RMIT 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 <br />� <br />LOT NO. <br />✓G (// / N <br />NAME <br />PARCEL TAX I.D. i� I PERMIT # <br />rnd4o 3�3� <br />TRACT <br />) %' �� � G�f SE J ��—Z ��— <br />CONTACT FOR PERMIT PHONE <br />�C NTRACTOR �y / � ADDRESS <br />q Mp5 ���'3 ,i�/�ar�, 5 i�� 61 �/S o,� rsv � <br />PHONE �- <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />s�pn�'1� c+ <br />� <br />� K/f1 `� 7" L p- � <br />Building Mechanical <br />PERMIT R Combinalion R Plumbing <br />TYPE Demolition � Sign <br />B Sprink�er <br />.j� G G G OG <br />�Af L hnf <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET �?OILET) <br />BATHTUB <br />I.AVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK � DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLO'N PREVENTER <br />SINK (BERVICEiBAR/MOP/ETC.) <br />OTHER <br />ZIP CONTR. LICENSE # <br />- .�//��/°.Ci�`�7t� � <br />gAdtlition HEAT SOURCE <br />Alleratlon �lectnc <br />B New as <br />Repair/Maint. OthPr <br />CITY OF EVFRETT LOCAL SALES TAX CODE �S 9105 <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />� <br />� <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYER <br />RANGEHOOD <br />WATER �1EATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />j i HEREBY CERITIFV THAT I HAVE READ AND EXAAIINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />I PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK 6VILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />� NOT. THE GRANTING OF A PERhfIT DOES NOT PRESUME TO GIVE AUTHORITY TJ VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />ISTATE OR LOCAL LA\V REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />CWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COh1PLY LVITH THE STATE <br />I CONTRACTORS LAW 18.27 RCW AND 246.200 WAC. , <br />G� / <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />