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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />-zN 01 <0 <br />SITE ADDRESS I1 I PARCEL TAX I.D. # I Qfi(iMIT# <br />LOT NO. I BLOCK I TRACT <br />�N�k attar fAAtL <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />�-wt5o /1 <br />CONTRACTOR H^� ML C A� I CA L ADDRESS ly�� I 1 ' J J M1,, IT ZIP (,CO7NT(j. LItnC `/ * q S/LI <br />PHONE 560 IS1-�C�(�� Iltol(l IT VatjoJjI IV4 N 73L�f <br />PROPOSED USE OF BUILDING Building chanical Addition HEAT SOURCE <br />PERMIT R Combination Plumbing (WORK k Alteration I7 Electric <br />TYPE Demolition Sign TYPE New B Gas <br />Sprinkler Repair/MainL Other <br />CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />WORK DESCRIPTION N Il C,k 0 t /A o .�- lop -OUT C b yP611'f0 — <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />2- <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 />I <br />A/C - A/HANDLINGUNITS <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 />Z. <br />_ <br />_ <br />_ <br />_ <br />_ <br />f_ <br />2 <br />I 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 />ONTRACTORS LA 18.27 RCW AND 296.200 WAC. <br />7-3/-ot <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />