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SEP-19-01 09:26 <br />FROM-NORTHWEST-CfSIIAAR 206-374-0?'l' g T-241 P-01/01 F-124 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />321)D CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />r DRESS <br />PARCEL. TAX I.D. k <br />PE70170111—LI— <br />' p 6�r �( <br />(SD3fC)( <br />/!s <br />LOT'Nm BLOCK <br />TRACT <br />— <br />ADDRESS <br />PHONE <br />_ <br />E::.•-. CONTACT NAME <br />. <br />PHONE <br />2c, <br />-0pNiRACT W Co. <br />ADDRESS tt <br />a BUG 'rLfVIA Cl (N <br />CONTR,LICENSE i <br />�/�l <br />W�Jff��s99f�fv <br />OSED USE OF BUILDING <br />t ' " <br />�...:: <br />PERMIT <br />Building p� Mechanical <br />Combination B Plumbing <br />Demolition Sign <br />N-$Pdnldor <br />[� <br />WORK. <br />TYPE f <br />Addition <br />Alteration <br />New <br />HEAT SOURCE <br />QElectdc <br />Gas <br />1 <br />Repa'u/Maint. <br />Other <br />vippjjTRACT PRICE OF WORK U <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />'' WOPK DESCRIPTION <br />.1 M <br />MECHANICAL <br />P• i.•' <br />OFFIXTUR!-ORITEM NO. 1YPF. OFFIXTUREORITEM <br />LO8ET A/C — A1HANDLING UNITS <br />-0r FORCED AIR SYSTEMS <br />GNASH BASIN) HEAT PUMP <br />UNIT HEATERS <br />SINK & DISPCSAL — CLOTHES DRYER <br />ASHER _ RANGE HOOD <br />WATER HEATER <br />w ;'P WTHESNDRY WASHER <br />— METAL FIREPLACE/STOVE <br />:T =r ,CIATHEtS WASHER FIREPLACE INSERT <br />�^* <VRINAG;" _GAS FIREPLACE <br />;DRINKING FOUNTAIN — <br />`.FLOOR DRAIN — GAS RANGE <br />SACKFrERVICEFU /BAM( PlETC.) OTHER ING -�— <br />EXHAUST FA^I <br />ry:'1'HEREBYCERfTIFY THAT I HAVE READ AND F_tAMINED THIS APPLICATION AND KNOW THE SAME TO RE TRUE AND CORRECT. All <br />'PROVISIONS OF LAWS AND ORIUINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAIenNG 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 OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />ry <br />