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' P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.iF `P,ERMI7 tt <br /> 2111 Fullon Street OC� S � (zy�{ '7 DUstl 1�1 � � <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> James Powell 2111 Fulton Street Everett 98201 425-870-5783 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> James Powell Jim Holden 425-7v6-3077 <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> All Climate Heating S A/C 14715 N.E. 95th Unit B Redmoud 98052 ALT,CLCH966C6 <br /> PHONE 425-74G-3077 <br /> PROPOSED USE OF BUILDING Building �S Mechanical Addition HEAT SOURCE <br /> PERMIT B Combinalion 4_� Plumbing WORK � Alteration � clectric <br /> TYPE �� Demolition LJ Sign TYPE New Gas <br /> D Sprinkler FepaiNMaint Other <br /> CONTRACT PRICE O°N'ORK �895 CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> WORK DESCRIPTIO'ti <br /> isntall gas piping to dryer, range, free standing stove (with shut off valves) and tee <br /> for future water heater. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _� L.IVATORY!WASH BASIN) HCAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLGTHES DRYER <br /> DISHWASHER RA�'GE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METl�.L FIREPIACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS R.QNGE <br /> _ BACKFLOW PREVENTER � GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUSI'FAN <br /> OTHER OTHER <br /> I HERF.BY CERITIFY THAT I HAVE READ AND EXAA7INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL I <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR I <br /> NOT. THE GRANTING OF A PERAfIT DOES NOT PRESU�fE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTIUN OR THE PERFORh1ANCE OF CONSTRUC?ION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM i HE WORK fOR WHICH APPUCATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 W.4C. <br /> �, .,n-„ v� �>.�� - 9-�7-(15 <br /> Sj ature of Own�d onir'aclor/Authonzed Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />