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el P&MIT APPLICATIA <br /> CITY OF EVERETT PERMIT SERVIC <br /> 3200 CEDAR STREET, EVERETT, WA 98201 MAR 2093 <br /> 425-257-8810 - FAX 425-257-8857 <br /> PUBLIC W©'Ll��5 <br /> SITE ADDRESS PARCEL TAX I.D. # PERMIT# <br /> U 90 I �? JI;:7- k;*13D.;-013 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> f4cp1blajE�& S <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> 95--w `� t3�1 �;F64 0 0 Fa:pw e�.4 2v6 2,64 7,1 �- <br /> CONTRACTOR "r� �,�� ADDRESS 9 �^t G 5;-OF sem( ZIP CONTR. LICENSE# <br /> PHONE n � �, <br /> PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOURCE <br /> PERMIT Combination Plumbing WORK Iteration Electric <br /> TYPE Demolition Sign TYPE New Gas <br /> Sprinkler Repair/Maint. Other <br /> CONTRACT PRICE OF WORK �5ao CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. . TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET (TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> __-- LAVAT0-RY(V17ASFF-BASIN) - - <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.) EXHAUST FAN <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 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 /> CONTRACTORS LAW 8.27 WAND 296.200 WAC. <br /> Signature of O er/Con r/Au oorized Agent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />