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4257756315 TC:14252578857 P.1 <br />1 <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. # PERMIT # <br />2131-H0`7-j+Ue 00L{3q/(/3Y61-5--06 <br />LEGA LOT NO, BLOCK TRACT <br />DESC. <br />t<ct-`1 ►v °�j1� �8'zo 1 �zfi�Tz.�`o7 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />ja'Kt-� I /,//1z7r- S L157 <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />w H,S+�� ©�rt,�/r�zf L�� �� �,.� 4) Et�f�JflrFf97� cg <br />9<90 <br />PROPOSED USE OF BUILDING 1 Building fj Mechanl0al I AdiOHEAToOURCE <br />S PERMIT Combination lumbing WORKLAItereotin, D ElectricTYPE Demolillon Sign TYPENew ,(�jj Gas <br />Sprinkler Repair/Maint. Other <br />CONTRACT PRICE OF WORK Lp o) _ I CITY OF EVERETT LOCAL SALES TAX CODE IS 0105 <br />WORK DESCRIPTION <br />Uu <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/BAR/MOP/ETC.) <br />OTHER <br />A/C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE 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 />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND K14OW 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 />SLATE OR LOCAL LAW REGULATING 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 />CONTRACTORS LA 27 RCW AND 206.20 <br />���. ° 21'e zra-7 s- - <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />