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-1 <br />PLWIT APPLICATIC 94 <br />4wrr CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />7/0 73•o/.lt s�,/ <br />PARCEL TAX I.D. 0 <br />•p 3a000 o/aoa <br />PERMIT It . <br />LEGA LOT NO. <br />DESC. (' <br />BLOCK <br />SG <br />TRACT <br />OWNER ADDRESS ZIP PHONE <br />i c �f 136-0) Ayj? — cf�.U-3 <br />QG 11,j /I /c r// <br />TENANT NAME <br />LQP7C f- dye J-.?z I <br />CONTACT NAMIl PHONE <br />l 't C1/--/I e l `11-H 4o0'-7/r/ <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE <br />PHONE i <br />PROPOSED USE OF BUILDING <br />��'•��/� 4.+� <br />PERMIT <br />TYPE <br />fi Building f-1 Mechanical <br />IIL-KJ(S Combination ILKJS Plumbing <br />Demolition Sign <br />Sprinkler <br />WORK <br />TYPE <br />Addition <br />N Alteration <br />New <br />Repelr/Meinl. <br />HEAT SOURCE <br />Electric <br />Gas <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />PLUMBING <br />NO. TYPE OF FIXTURE On REM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <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 />_ <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 />_ <br />_ <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 />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT S LAW 18.27 RCW AND 9 200 WAC. <br />v y <br />ature o wneu o raclorr ulhonzed gent ate <br />