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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 />SITE ADDRESS <br />PARCEL TAX I.D. # <br />PERMIT # <br />T l.'d SG j'4' <br />y (vR <br />_ _— <br />1 C)D 0al <br />LEG. LOT NO. <br />BLOCK <br />TRACT <br />DESC.r <br />iOWNER <br />ADDRESS <br />ZIP PHONE <br />j tSSt�� <br />`/CrLIAiYt- <br />(0t; 7!0'9069 <br />TENANT NAME <br />�— <br />CONTACT FOR PERMIT <br />PHONE <br />�CNL. L 12mk, LLC <br />k t,11v L?,-W <br />CONTRACTOR <br />ADDRE <br />ZIP CONTR. LICENSE # <br />�o Box 7�°t <br />KBvEiC�avdF00!Q� <br />PHONE <br />PROPOSED USE OF BUILDING <br />Building D Mechanical <br />Addition <br />HEAT SOURCE <br />PERMIT <br />Combination Plumbing <br />WORK <br />� Allerabon <br />D Elccmc <br />TYPE <br />,1Lp9 <br />Demolition Sign <br />TYPE <br />New <br />Gas <br />j� <br />K ( 1 _ I <br />Sprinkler <br />Repaiul.lamt. <br />uU <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />MBI.D ev;,�, � - iO G101 /1- . %,.G i I <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />Kf i CHEN 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/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 114SERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <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 />PROVISIONS OF LAWS AND ORIOINACES GO G THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT 5 O SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW RE NG UCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORiZED BY THE <br />OWNER OF THIS PR TY TO ORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOR 18.2 AND 298.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />