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SITE ADDRESS <br />321 Madison Street <br />LEGA LOT NO. <br />DESC. <br />Sdilliam I;rown <br />TENANTNAME <br />NERMIT APPLICATIc�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />CONTRACTOR <br />All Climate Heating & A/C <br />PHONE <br />425-746-3077 <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK �6500 <br />PARCEL TAX I.D. # <br />oo393yo�vvvioo <br />TRACT <br />1700 England Ave Everett 98203 <br />CONTACT FOR PERMIT <br />Jim Holden <br />ADDRESS ZIp <br />14715 NE 95th Unit B Redmond, 98052 <br />Building Mechanic:�l <br />PERMIT R Combination Plumbing <br />TYPE D Demolition Sign <br />U Sprinkler <br />WORK DESCRIPTION <br />install gas piping, gas furnace and water heater <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 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 />PERMIT # <br />425-267-0603 <br />PHONE <br />425-746-3077 <br />CONTR. LICENSE # <br />ALLCLHAOOOCB <br />Addition <br />WORK Alteration <br />TYPE New <br />RepaidMaint. <br />HEATSOURCE <br />�Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. . I TYPE OF FIXTURE OR ITEM <br />AIC—A/HANDLING UNITS <br />FOkC'cD AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS R.4NGE � <br />GAS PIPING t� 2��..�,« 6 i.�,v�.. ��� <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br />PRUVISIONS 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 OThIER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WQRK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW '18.27 RCW AND 296.200 WAC. <br />—5-03 <br />DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />