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L07 NO. <br />IIM <br />909 <br />NAME <br />PERMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />r M�LL 4Y P�CELTAXI.D. <br />S�{f <br />BLOCK TRACT <br />�..� ADORESS <br />c% SUIt�c�' � <br />�SS �►JfGR 2010 I 5 <br />CONTACTNAME\ - <br />_ �.���5 j � _ <br />CONTRACTQf{b� �u�7M� ^ J <br />f,� P i <br />PHONE <br />PRQ?OSEJ USE OF BUILDING <br />OFF 1 � <br />PERMR p <br />–rv•r' o� _ __— <br />PHONE <br />206 - 4�a-l9og <br />ADORESS '/ 1 • `, L� �ONTR.LICENSE/ <br />1`t�.�J-hl�- � .bAMp v i� r <br />206^gS4'46 <br />�j Building Mechanical <br />PERMIi � Combination � Plumbing <br />TYPE Oemolition U Sign <br />Sprinkler <br />CONTRACT PRICF OF WORK ..r � 20� ((XJ0 <br />TYPE <br />Add'Riwt <br />Atteretion <br />New <br />Repair/M&int. <br />HEATSOURCE <br />�EleWic <br />cas <br />Oiher <br />CITY OF EVERETT LOCAL SALES TIU( CODE IS NOS <br />WORK DESCRIPTION <br />S�TuP oF D6�NT�t oFFIC.� �Nb PEI.Jr��- L,�S. <br />� iZ s�-'iT� c�-Ni-17 Pl..�c nJ s_ <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <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 PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C – A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HC�D <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACEINSERT <br />GAS FiREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <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 ORI�INACES GOVERNING THIS IVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THt PROVISION OF ANY OTHER <br />STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE t7F CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />GWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 7827 RCW AND 296200 N'AC. <br />?-..�0� <br />