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P.RMIT APPLICATI(A <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS /wr <br />39Z'7 mDa2al�-- <br />PARCEL TAX I.D. 11 <br />00 ¢;Ts 828or4 oa <br />P MR N <br />LEGA (LAG.T�N i S <br />DESC. 1 <br />ga. OK <br />R4T- DF aeote� TRACT p OIU I S1 K) <br />OWNER ADDRESS ZIP HONE <br />DAU E �on n ► e� I�� ►.TMkn 5416 1 LI�Dt2� 6 �}?�• 337 - <br />`ISZU85 <br />P", A-LVAJ "0f4t3 <br />_._ tA[L2= W� 127Y <br />TENANT NAME <br />CONTACT N/yAAME PHONE <br />-7 /' <br />CONTRACTOR ADDRESS ZIP CON", LICENSE <br />AL-Y 9�5 514-16 I�h �. 5 � ►DT <br />PHON Z5 , ��7. 12'�7 <br />Q�AUINH*,400 <br />PROPOSED USE OF BUILDING <br />Building I"1 Mechanical <br />Addition <br />MEAT SOURCE <br />LrL� <br />PERMIT <br />Combination ILHJ( Plumbing <br />WORK <br />B Alteration <br />Electric <br />TYPE <br />Demolition Sign <br />TYPE <br />�u} New <br />Gas <br />Sprinkler <br />RepairtMaint. <br />Other <br />CONTRACT PRICE OF WORK q D`QO <br />��7���J` <br />CRY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION���+- — 1 <br />�� ,T�j jL G/{-� / •-• <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 />+_ <br />�. <br />_L <br />_L <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 />I <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROV §IONS OF LAWS AND ORIOINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOTJ THE GRANTING O A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STA OR LOCAL LAW 9EGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEW THIS PROP RTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRA TORS LAW 1 27 RCW AND 296.200 WAC. I <br />