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J.U4-10-03 TUE 09:19 AM F"CRETT PERMIT SERVICES FAX NO. 4"c 257 8857 P. 02 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, OVA 98201 <br />425-257-8810 — FAX 425-257-8657 <br />917E ADDRESS I PARCEL TAX I.D. # PWA/ IT #Z <br />\i <br />O E -F lYil.IL tjL— <br />LEGA LOT NO. BLOCK RACT <br />DESC. <br />-- <br />OWNER— ADDRESS ZIP PHONE <br />17beclo <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />I <br />CONTRACTOR ADDRESS �� ZIP CONTR. LICENSE # <br />PHONE L 7e"1 D1 <br />`BUILDING <br />PROPOSED USE OF <br />I <br />PERMIT <br />Building D MechdniG01 <br />Combination [] Plumbing <br />L.�� Addition <br />WORK 11d Alteration <br />HEAT SOURCE <br />(i Electric <br />TYPE <br />Demolition U Sign <br />Sprinkler <br />_7- <br />TYPE IrN" <br />'epnfdMatnt. <br />[[�] Gas <br />LJ <br />Other <br />CONTRACT PRICE OF WORK 'C 9Z r rW , GE CITY OF EVERET' L' =!AL SALLS TAX CG.)i: IS 3105 <br />WORKDESCRIPTION_— --- <br />M�nao1? —i�.wn t i I tiv�Cx�Ju�U7 I� 71�E CIE E, i WL� <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO., TYPE OF FIXTURE UR ITEM <br />— WATER CLOSET (TOILET) AIC— AMANDLINGUNITS <br />_ BATHTUB FORCED AIR SYSTEMS <br />_ LAVATORY (WASH BASIN) HEAT PUMP <br />_ SHOWER UNIT HEATERS <br />_ KITCHEN SINK d DISPOSAL CLOTHES DRYER <br />_ DISHVIASHER RANGE HOOD <br />LAUNDRY TRAY WATER HEATER <br />CLOTHES WASHER METAL rIREPLACEISTOVE <br />URINAL — FIREPLACE INSERT <br />_ DRINKING FOUNTAIN GAS FIREPLACE <br />_ FLOOR DRAIN GAS RANGE <br />_ BACKFLOW PREVENTER GAS PIPING <br />SINK (SERVICEJBARJMOPlETC.) EXHAUST FAN <br />_ OTHER OTHER__ <br />I MEREDY CERTIFY THAT I HAVE READ AND EXA.MINEO THIS APPLICATION ANO KNOW THE SAME TO r F IUF %= : CORRECT. ALL <br />PROVtS10NS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL DE COMPLIED WITM'dl EIH! ., ;%ECIFIED HEREIN OR <br />NOT, TRZ GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 'i HE: Ii'?VISION OF ANY OTHER <br />STAT OR LOCAL LA GULAT[NO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT i AH AUTHORIZED BY THE <br />OVIt! F THI P PER TO PE'1FORN TMC• WORK FOR WHICH APPLICATIOIJ IS !LADE AND I COMPLI' VAI; H THE STATE <br />COf T R LA 8.27 AND 2:S.200V/AC. <br />( <br />0 <br />rg ,xlur otuvinerfuemact fr/Aumnma Agent 'Date t%2 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />