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PCRMIT APPLICATI(�N <br /> CITY OF EVERETT QERMIT S�RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMI tt <br /> 2005 ColU Avenue 00437042400100 , - <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> Gverett Div B Plat <br /> OWNER ADDRESS ZIp PHONE <br /> St Paul United Methodist Chur.ch 2005 Colby Ave 98201 (425) 783-0364 <br /> 7ENANTNAME I CONTACTFORPERMIT PHONE <br /> Qwck McQuarrie (425) 783-0364 <br /> CONTRACTOR ADDRESS 21P CONTR.L!C�NSE p <br /> TO ix' bid ' �J <br /> PHONE I /r,(� �1.c7 r,/� �7 � <br /> V' Y�5 , 1�� � <br /> PRO�OSED USE OF BUILDING I Building Mechanical Addition HEAi SOURCE <br /> Church PERMIT R Combinalion R Plumbing WORK � Alteratlon I f� Electric <br /> TYPE g Demolition � Sign TYPE New Gas <br /> Spnnkler Repair/Malnt � B Other <br /> CONTRACT PRICE OF WORK �S�OOO.00 CITY OF EVERETT LOCAL SALES TIVi CODE IS J705 <br /> WORK DESCRIP710N <br /> Remodel of alter area. <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 /> _ LNVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER UNITHEATERS <br /> _ KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRYTRAY WATERI�EATER <br /> _ CLOTHES�VASHER METALFIREPLACEISTOV� <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPING I <br /> _ SINK(SERVICE/8AR/MOP/ETC.) — EXHAUST FAN I <br /> _ OTHER OTHER <br /> I <br /> I HEREBI'CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 9E TRUE AND CORRECT. ALl <br /> PROVISIONS OF LAWS AND ORIDIIJACES GOVERNING l'HIS TYPE OF WORK WILL BE COMPLIED VL9TH WHETHER SPEG'IED HEREIN OR I <br /> IJOT. THE GRANTING OF A PERMIT DOES NOT PRESUA1E 70 GIVE AUTNORITI��TO VIOLATE OR CANCEL THE PROVISION OF ANV 07HER <br /> � STATE OR LOCAL LAW REU`�l LATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED EY THE �� <br /> OWNE �HIS PRO��T�t TO P�RFORM THE WORK FOR WHICH APPLICATIQN i5 MADE AND I CUMPLY WITH THE STATE i <br /> �N7 A RS LAW 1b. f RCW.4ND 296.200 WAC. <br /> � / � �i <br /> •Signatu. of O eNC ntractodAuthonzed Agent Date <br /> I ��L ) I <br /> � DEBIT & CREDIT CARDS ARE NOT ACCEPTED i <br />