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SITE ADDRESS <br />LOT NO, <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TAX I.D. 0 <br />'/2 GbL <br />':+ L'/ � <br />TENANT MIME I CONTACT FOR PERMIT PHONE <br />MU�f/!C/PPA[.. Gl�eT ��1 S ��t% 257• $B9T <br />CONTRAC70R�I/Ay/y ADDRESS ZIP C NTR. LICENSE 0 <br />G�L�1l/,I �N✓/ 2 rNR, <br />PHONE �Jw ►v/ <br />9�5• of - <br />PROPOSED USE OF BUILDING I Building Mechanical Addition HEAT SOURCE <br />m <br />PERMIT R Cobination R <br />G Plu <br />mbing I <br />WORK Allemb.on Electric <br />YPE TB Demolition 6 Sign TYPE New Gas <br />�&V-- Sprinkler Repair/Maint. Llljjj Other <br />CONTRACT PRICE OF WORK — CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />R+9l-"6 A#F4x /60 -AA-- 59 186yAID ,�EPMV /.G&DX,ts <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />OF <br />NO. TYPE OF FIXTURE OR ITEM <br />WAR <br />TE(TOILET) <br />A/ C— A/HANDLING UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />CLOTHES DRYER <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />SVATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACEISTOVE <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />_ <br />_ <br />__ <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />SINK (SERVICEBAR/MOP/ETC.I <br />EXHAUST FAN <br />OTHER <br />__ <br />OTHER <br />I HEREBY CERITIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNJW T HE 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 />Cr)NTIQAr R I AG, 1a vv o , n,.<X o .,w......— <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />