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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. N P MIT I TT <br />iRt✓ADiA,.opl /AA.! I��/%n) Alt --VC T�/ �wI-7 <br />NO. I BLOCK I TRACT <br />uvncn •---• •--- <br />,d A.ry i,,.� ���.. .� /!U.4� /1G17Y�7?6)K <br />TENANT NAME CONTACT NAME PHONE <br />IIA�-AvT v�vx- 1?os'.vl� ���r- 97C- 6rs-1 <br />CONTRACTOR ADDRESS LP CONTR. LICENSE <br />�✓7.K CoA/Yk�Ci'/ac .,c/G. �O. Boi" /?0%7 v PHONE 6 ph:Xt J% <br />PROPOSED USE OF BUILDING li Building li Mechanical Addition HEAT SOURCE <br />PERMIT 111L�gI(,"rombination IUH( Plumbing WORK Alteration QQ Electric <br />TYPE Demolition Sign TYPE Now Gas <br />Sprinkler Repair/Maint. LLJJ Other <br />CONTRACT PRICE OF WORK 7.��/ )rV� to '- CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />PLUMBING <br />NO. TYPE OF FIXTURE OR REM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BAr;KFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER_ <br />_ <br />_t <br />_ <br />_ <br />_/ <br />I <br />Z <br />1_ <br />A/C — AMANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT 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 />_Z <br />/ <br />I <br />= <br />I HEREBY CEPITIFY THAT 1 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. TI4E GRAFTING 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 1 AM AUTHORIZED BY THE <br />OWNtA OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1&27 RCW AND 296.200 WAC. <br />�L <br />