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�ERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />j 425-257-8810 - FAX 425-257-8857 <br />5F (3EU c R l-f Q L-Q D. <br />LOT NO. 3. 1 BLOCK <br />TENANT NAME <br />SPAle AS PtRo�� <br />CONTRACTOR <br />NP+ACk 1 90S. CON51. <br />PHONE <br />HZS-3q1--1 3(, <br />PROF-OSED USE OF BUILDING <br />N sFz <br />PARCEL TAX I.D. # <br />0039 3Y -00S- oa5-o I <br />:C <br />CONTACT FOR PERMIT <br />�') ek HUack I -A <br />ADDRE "� <br />392a F, 4AvE .NE E�eaET, s <br />[i Building D Mechanical <br />PERMIT IIQ Combination �] Plumbing <br />TYPE B Demolition U Sign <br />Sprinkler <br />vvya - <br />PE MIT # y <br />PHONE <br />- 3bo <br />PHONE <br />- DIX-a14 a <br />CONTR. LICENSE # <br />HggcKii Io(-ON DZ <br />I <br />Aaamon <br />Alteration <br />New <br />Repair/Maint. <br />Electric <br />Gas <br />Other <br />CONTRACT PRICE OF WORK gs I QQU I CITY OF EVERETT LOCAL sALea i <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />1_ 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 />NO. I TYPE OF FIXTURE OR ITEM <br />4 <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 FIREPLACElSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I <br />I HEREBY CERITIF:' 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 />CQTRACTCft�AW 1B.N,,RCW AND 2,Q;200 WAC. 1 + <br />qr- ►- <br />riz d Agent Date I/a <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />