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P� iMIT APPLICATIO14 <br />CITY OF EVERETT PERMIT SERVICES <br />r 3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. X PEcRM T 4 <br />n <br />LEGA LOT NO. BLOCK ACT <br />DESC. <br />OWNER ADDRESS ZIP PHONE <br />bl,V <br />TENANT NAME I CONTACT NAME PHONE <br />LL <br />1,M ADDRESS ZIP CONTR. LICENSE N <br />PHONE �N- .1 C- ^ 'N %:-i _/ <br />PROPOSED USE OF BUILDING <br />I� BUllding }�-��/Mechanical <br />PERMIT II�V'1[( Combination'U Plumbing <br />WORK <br />Addition <br />JAueration <br />HEAT SOURCE <br />If 1^�lectric <br />TYPE Demolilion U Sign <br />TYPE <br />New <br />�( Gas <br />Sprinkler <br />Repair/Maim. <br />LI Olher <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION `La -bp umlj t(,1tlhn� ^ VQNI,Q'011 1117)4ei-1V(' Cu-LuP K-x ti/ (Y <br />C� pf[>Ac-'6n-jer� uLxtlze- IPc,3e/' vQr4in5 d W-kG�6x- CLucfww) <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />CLOSET <br />_ <br />A C - NHANDLING UNITS <br />WATER <br />BATHTUB <br />_ <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />_ <br />HEAT PUMP <br />SHOWER <br />_ <br />UNIT HEATERS <br />_ <br />KITCHEN SINK 8 DISPOSAL <br />_ <br />CLOTHES DRYER <br />_ <br />DISHWASHER <br />_ <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />_ <br />_ <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />_ <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />_ <br />_ <br />GAS FIREPLACE <br />_ <br />_ <br />FLOOR DRAIN <br />_ <br />G`AS RANGE <br />_ <br />BACKFLOW PREVENTER <br />_ <br />GAS PIPING <br />_ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />4�1- <br />EXHAUST FAN <br />_ <br />OTHER <br />_ <br />OTHER <br />I HEREBY CERITIFY THAT 1 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 AUTHOR17ED BY THE <br />OWNNg$qR OF THIS Pyp�OPERTY TO PERFORM THE WORKfOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />rarlTknOTORS LAW 16.27 RCW AND 296.200 WAC. / / � _ — <br />