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PERMIT APPLICAI ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />t AuPKts ' :. PARCEL TAX I.D. #I pERMI # `� <br />69 71i �7 rG - 3 <br />-EGAIA LOT HO. ---- 7 BLOCK TRACT <br />UWNLI< ADDRESS ZIP PHONE <br />TENANT NAME CONTACT FOR FERMI I PHONE <br />CONTRACTOR L'�L2 ADDRESS <br />�-( <br />S �✓) 360 Y G ZIP CON-.R. LICENSE# <br />PHONE �•`7 �7 �C�IJ o 'F/ �� •J / JU <br />PROPOSED U'it OF BUILDING <br />CONTRACT PRICE OF WORK <br />Buildingnation Mechanical Addition I HEAT SOURCE <br />PERMIT CombiPlumbing WORK BAllerlOon Electric <br />TYPE Demolition Sign TYPE New Gas <br />Sprinkler Repair/Maim. Other <br />F Q O Q ` CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION ^ <br />G CY t S r jJ 6* 8 (Z- yyL-k-- TO -rd <br />f2ama ue <br />FF�� <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 <br />KITCHEN SINK 8 DISPOSAL 'f <br />DISHWASHER % <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN_ <br />FLOOR DRAIN <br />BACKFLOWPRcVEN <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <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 />GiPIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEHLUY 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 OP CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC i ION. 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 />CON 0RW A20G.200 WAC./ <br />�/y2- M> I 63 <br />SlgnEfture et Owner/ ntraclortAuthonzed Agent Date EXHIBIT,"; <br />DEBIT & CREDIT CARDS ARE NOT 4WEPTED <br />37 <br />