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� PtRMIT APPLICATI(�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> I SITE AODRESS PARCEL TAX I.D.# PERMIT# <br /> i 1101 Co16� Street M�Si�-G�f� <br /> iLEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> I OWNER ADDRE55 ZIP PHONE <br /> Wilbur Meier 11G1 Colby Street Everett 98201 425-259-5430 <br /> 7ENANTNAME I CONTACTFORPERMIi PHONE <br /> Wilbur Neier Jim Holden 425-746-3077 <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE p <br /> All Climate Neating 6 A/C 14715 N.E. 95th Unit S Redmond, WA 98052 ALLCLCH966C6 <br /> P41SE746-3077 <br /> PROPOSED USE OF BUILDING I Building f� Mechanical � qddi�ion HEAT SOURCE <br /> PERMIi R Combination �_� Plumbing WORK Alteration Q Electnc <br /> 7YPE D Demolition �, Sign TYPE New I Q¢ ,as <br /> U Sprinkler RepaidMainL U Other <br /> CONTRACT PRICE OF WORK 5346 CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> install gas piping to kitchen for future range <br /> I PLUMBING <br /> MECHANICAL <br /> N�. � fYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WA'iERCLOSET(TOILET) A/C-A/HANDLINGUNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEA7 PUMP <br /> _ SHOWER UNITHEATERS <br /> _ KITCHEN SINK&DISPOSAL CLOTH[S DRYER <br /> _ DISHWASHER R,qNGE HOOD <br /> _ LAUNDRYTRAY WATER HEATER <br /> _ CLOTHES'J✓ASHER METAL FIREPLACUSTOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE , `/ � <br /> _ FLOOR DRAIN GAS RANGE / _ <br /> _ BACKFLOW PREVENTER � GAS PIPING U/-� <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER — <br /> —' _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> NROVISIONS OF LAWS AND ORIDIfJACES GOVERNING THIS i 1'PE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> N07. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEI THE PROVISION OF ANY OTHER � <br /> STATE OR LOCAL LAW REGULATING CON5T5UCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE I <br /> OWNER OF THIS PROPERTY TO PERFORM THE N'ORK FOR INHICH ANPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CO�dTRACTORS LAW�8.27 RCW AND 2962p0 WPC, <br /> �'�-v�-s-.,,...`_ ��- 12-20-OS <br /> Sign . re of OwnerlContractodAut�ed qfl���� Dato <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />