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PERMIT 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 PARCEL TAX I.D. It I PERMIT # <br />:' 6O z ��D y 1 1 I X03 O(-DG� <br />LEGAL] LOT NO. I BLOCK TRACT <br />B 6Z10- u <br />TENANT NAME CONTACT NAMF PHONE <br />VXG F4 f�sL- lu. e" to/L� L2D <br />CONTRACTOR �t-?M <br />5PNNpr <br />ZIP CONTR. LICENSE # <br />SKAGy <br />u�f� �y <br />t4ovt4-&- <br />< <br />s;-evu se- e„ n, A) <br />PHONE pZe) 8- <br />9& % - <br />% ea 03 <br />0,66- <br />G 5'9— <br />07 <br />- i)jr112FZ TCc2kkTZ tea'. <br />PROPOSED USE OF BUILDING <br />Building I-1 MechanicalH <br />Additiot, <br />HEAT SOURCE <br />PERMIT <br />Combination IL(I Plumbing <br />WORK <br />Alteration <br />Electric <br />I <br />TYPE <br />Demolition Sign <br />h <br />TYPE <br />New <br />�{ Gas <br />Sprinkler (# of heads) <br />Repair/Maint. <br />I U Other <br />CONTRACT PRICE OF WORK I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTNRE OR ITEM <br />I <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (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 />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />_ <br />_ <br />— <br />_ <br />_ <br />I <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />A/C - A/HANDLING 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 />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 />OW ER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICA11014 IS MADE AND I COMPLY WITH THE STATE <br />Cd1':'N7ACTORS LAW 18.27.ACW AND 296.200 WAC. <br />/-zr- v3 <br />