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Oct.12. 2006 9:49AM Emerald Aire - [2531 872-5797 10.8374 P. 2 <br />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 PARCEL TAX I.D. #t PERMIT # <br />_ MOLato-vet <br />LEGA LOTNO. BLOCK TRACT <br />OESC. <br />OWNER ADDRESS ZIP PHONE <br />&MV O c TOlv11 C 41 14dal NC WintA c-n)t1((9d )Jy) (A lie 9 $'07:� <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />ue s= ,liimn r I �h�v, 8n eve h7a 5rx� <br />CONTRAGTOR�eK.2— G Aire /nG ADDRESS ZIP CONTR. LICENSE # <br />PHONE <br />0?53 S7,�JrCPCO�J108 � Sr /U � Qi�h'lrn 9�/A� <br />PROPOSED USE OF BUILDING I Building Mechanical �}nI''��( �A,.,d,dition HEAT SOURCE <br />PERMIT Combination Plumbing (WORK ,p¢W[eratlo9Eectnc <br />TYPE Demolition Sign TYPE BB New I Gas <br />C000nt %ty i (,, Sprinider Repair/Maint. Other <br />CONTRACT PRICE OF WORK 9 r1 �'� d�� CITY OF EVERETT LOCAL SALES TAX CODE IS 5105 <br />WORK DESCRIPTION <br />C Rpev-x � 5>Lii�h 72doG/op U�1G�) <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 />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/BAPJMOP/ETC.) <br />OTHER <br />_RANGE <br />— <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />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 />_ <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 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 OFIHIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT RS LAW 18.27 RCW-AND 296.200 WAC, <br />DEBIT 8r CREDIT CARDS ARE NOT ACCEPTED <br />