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��RMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201,425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT t <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. � <br /> OWNER I ADDRESS � IPHONE <br /> �( T�1)Ill �15.��1'(I� �,1'1'�C/K� CONTACT NAME I PHONE <br /> CONTRACTOR ADDRESS CONTR.LICENSE N <br /> COMMERCIAL FIRE PROTECTION,INC I PO BOX 128 MODNT VERNON, WA 98273 COMMEFP132lRi <br /> PHONE <br /> PROPOSED USE OF BUILDING � Building n Mechanical AdCition FIEAT SOURCE <br /> PERMIT Combination [} Plumbing WORK Alrorauon Electric <br /> ��I TYPE Demolition � Sign TYPE New Gas <br /> � 1� Sprinkler P.epairlMaint. OBur <br /> Yl <br /> CONTRACT PRICE OF WORK (� CITY OF EVERETT LOCAL SALES TAX COOE IS�105 ' <br /> WORK DESCRIPTION <br /> RELOCATION OF HEADS <br /> �p UMBING MECHANICAL <br /> NO. TYPE OF FIXTURE Ofl ITEM N0. TYPE OF fl%TURE OR ITEM <br /> WATER CLOSET _ AIC—A/FiANDLING UNtTS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BAS�N) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK& DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FlOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUS FA ! <br /> OTHEFi � OTHER� <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITM WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL TME PROVISION OF ANY OTHER <br /> STATE OR IOCAI LAW HEGUTATING CONSTRUCTION OR THE PEAFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK fOR WHICH APPIICATION IS MADE AND I COMPLY WITH THE STATE � <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> � , (J � ^C�Z+ <br /> Signalu e Owner/Contr t / uthori nl Date <br />