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FEB-15-02 17:25 FROWNORTHNEST- SIMAR 206-374-0834 T-368 P.02/02 F-066 <br />PERMIT APPLICATION <br />41-rr CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS T <br />PARCEL TAX 1.0,1t <br />PERMIT N <br />�3 UPi ' SE <br />L 3/(oG?�cb0 2ao <br />I ML22-0 <br />LEGAL <br />LOT NO. <br />7BLOCK <br />TRACT <br />DESC. <br />I <br />0 NER ADDRESS <br />PHONE <br />U4 SF <br />29 <br />TENANT NAME CONTACT NAME <br />PHONE <br />C-bli N l�l L � C PcC.i_ t�-6'H-'E�. <br />I �o�' °y7if `�(o•� <br />CONTRACTOR i�F S I� <br />1 ADDRESS <br />CONTR. LICENSE • <br />a$27) �(LA/AyKL �P A� <br />W"RIeSgy0CVJ <br />PHONE �vL�%pU <br /><e&" wo gFI`t <br />PROPOSED USE OF BUILDIT,'G <br />lechanical <br />Addition <br />HEAT SOURCE <br />PERMIT <br />CombinetioBuilding Plumbing <br />WORK4sepalf"Maint. <br />AlcereUon <br />Q Electric <br />TYPE <br />Demolition Sign <br />TYPENew <br />,�] Gas <br />Sprinkler <br />U Omer <br />CONTRACT PRICE OF WORK VV <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />WORK OESCRIFrT10N <br />PLUMBING <br />NO, <br />TYPE OF FIXTURE 0.1 ITEM <br />MEC A� NICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 3 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN-:ER <br />SINK (SERVICE/BARlIAOP/ETC.) <br />OTHER <br />— <br />_ <br />_- <br />_ <br />_ <br />— <br />_ <br />, <br />A/C — AIHANDLINGUNITS <br />FORCED AIR SYSTEMS <br />HE -AT 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 />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OFIIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEaMIT 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 T: PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT. 27 RC'N AND 2 WAC. / <br />