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515 5 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />'� 3200 CEDAR STREET, EVERET�, WA 98201 <br />�l � 425-257-8810 - FAX 425-257-8857 <br />� � � — �o�✓��cr'C W�.EI. WY - <br />SITE ADDRESS �.-.'` PARCEL TAX I.D. # PERMIT # <br />� — .4C . El/i��C�� „"�F ��V ' I � ( �� . ��� <br />LOT NO. BLQCK I TRACT <br />DESC. <br />4�.uF Sr�w��J (Stx� �4oT" /��N�= [3�1.1,�1u� ��.1� `160� <br />TENANTNAME CONTACTFORPERMR PHONE <br />S�lL-bJGj�S GocTt� I 5��� S�v�� ?�6223 IIZZ <br />CONTRACTO J �, � ���SS ZIP CONTR. LICENSE # <br />�' t3�.4 T 2�30 ocU ��- �4� <br />PHONE��� `IZ� <br />PROPOSED USE OF BUILDING <br />5��= �,� �'��39 <br />Building n Mechanical <br />PERMIT CombinaGon �i Plumbin�,� <br />TYPE Damolition � Sign <br />Sprinkler <br />COMTRACT PRICE OF WQRK P/� 7 p� <br />WORK DESCRIPTION <br />II�Si�,L �`1) �✓P,-LL S tG�S <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (fOiLE'� <br />&4THTU8 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW FREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.1 <br />OTHER _ <br />TJg�aD�`S�iC�S <br />QAdditlon <br />WORK � Alteratlon <br />TYPE �'IQew <br />� U RepaidMainL <br />HEATSQURCE <br />D Electric <br />Gas <br />Other <br />ICITY OF EVERETT LOCAL SALES TAX CODF IS 3705 <br />� � � c.J%h� I?� t� SIC�n� , <br />1 <br />MECHANICAL . <br />N0. .I T''/PE OF FIXTURE OR ITEM <br />A'C — A/HANDLING UNITS <br />F�JRCED AIR SYSTEMS <br />HcA7 PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />MEfAL FIREPLACE/STOVE <br />FIREPIACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <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 GGVERNING 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 VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUU+TING 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 />CONTRACTO 1 6W-AND 296.200 WAC. �.�. O�_ <br />DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />