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� �cRMIT APPLICATI�N <br /> C.ITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201, 425-257-8810 <br /> ko -ocs <br /> SITE ADORESS PARCEL TAX I.D.A P MIT N��� <br /> iv <br /> LEGAL LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNEH I ADDRESS � IPHONE <br /> T p���M�`r ����N I CONTACT NAME I PHONE <br /> EN <br /> �i'il� l� / 1 <br /> CONTRACTOR ADDRESS CONTR.LICENSE M <br /> COMMERCIAL FIRE PROTECTION,INC PO BOX 128 MOUNT VERNON, NA 98273 COMMEFP1324M <br /> PHONE <br /> PROPOSED USE OF BUILDING � Building n Mechanical Adaition HEAT SOURCE <br /> PERMIT Combination � Plumbing WORK AReration Electric <br /> TYPE Demolition � Sign TYPE New 6as <br /> ? Sprinkler RepaidMaint. Otn�r <br /> CONTRACT PRICE OF WORK 1z '�'(.I,� CITY OF EVERE7T LOCAL SALES TAx CODE IS�705 <br /> WORK DESCRIPTION P��M\� <br /> RELOCATION OF HEADS � ��E Q P <br /> y °� FnP <br /> pLUMBING MECHANICAL <br /> NO. TYPE OF fll(TURE OR ITEM (��^'�\� � NO. TYPE OF flXTURE OR ITEM <br /> N,'ATER CLOSET _ A/C—A/HANDUNG UNITS �`� �� <br /> BATHTUB _ FORCED AIR SYSTEMS � ) <br /> LAVATORY(WASH BASIN) _ HEAT PUMP �h� <br /> SHUWER _ UNIT HEATERS �� <br /> KITCHEN SINK&DISPOSAI _ CLOTHES DRYER <br /> DISHWASIiER _ RANGE HOOD � O� <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 PREVEN�ER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUS A <br /> OTHER �� OTHER <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 TVPE OF WORK WILL BE COAIPLIED WITH WHETMER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUUITING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICM APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT LAW 78.27 RCW AND 296200 WAC. <br /> � ' � 1«l � Z <br /> 0 <br /> Signat olOwnedContra Authon A t Date <br />