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PEEIMIT APPLICATICs'_ 1 <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. # PERMIT a Q^� <br />S 17- OS o 06 / 006, C! C) C) (/ <br />LEGAL LOT NO. BLOCK TRACT <br />DESC. <br />.,..,.cn <br />Huuneaa <br />ar <br />NnonE- Al ZS6-273' <br />GO'MYNJN.T.r 14CA"ru CC.T`CA <br />2-72.L LecQY AYE CyC1za;r <br />WA 1020-1-7rs7 <br />TENANT NAME <br />CONTACT NAME <br />E <br />PHONE <br />�rvm�.ry Ucn�ii+ ctNre+" I <br />1�tFJ 6aze;x/ <br />y29' 258-27,f7 <br />CONTRACTOR P,,,,,,,.R,Nc <br />ADDRESS (gpfl JGar�rcoran <br />/,Ic ZIP <br />CONTR. LICENSE a <br />/.nT•.vCn0v9 <br />ggZ71 <br />Co»+MEP113ywriAK4 <br />PHONE Se., VL B �G j b <br />PROPOSED USE OF BUILDING <br />Building Mechanical <br />Addition <br />HEAT SOURCE <br />PERMIT <br />R Combination Plumbing <br />WORK <br />g Alteration <br />D Electric <br />TYPE <br />B Demolition Sign <br />TYPE <br />New <br />B <br />Gas <br />B <br />6r Fl tE <br />Sprinkler <br />Repair/Maim. <br />Other <br />CONTRACT PRICE OF WORK I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. I 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 />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <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 FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />1 HEREBY CERITIFY 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 />CONTRACTORS LAW 18.27 RCW AND 296,200 WAC. <br />