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F�=RMIT APPLfCATI N <br /> CITY OF EVERETT PERMIT SER�'ICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810— FAX 425-257-8857 I <br /> ISITE ADDRESS PARCEL TAX I.D.# PEF7MIT u <br /> 1500 Industr Street L'ld H 0228U440020002 �C Q3[�^�2 <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> ADORESS ZIP PHONE <br /> �a�na�toni7 Im�estments ].LC <br /> `S awa Deve�opmen[ (.�'o 5401 .lackson ltoad �acramento i::1 9532G I <br /> TENANT NAhiE COIJTACT NAME PHONE <br /> Air Van 'C.I. Greg Platz _ 206-575-7527 <br /> IICONTRACTOR ADDRESS ZIP CONTR.LICENSE k <br /> State tlechanical Co 600 Industry Dr I18 Tukwila SJa 98188 S'CATEP1C141C"/ <br /> I PHONE 206-575-7727 <br /> � PROPOSED USE OF BUILDING Building I� MeChaniCal Addition HEAT SOURCE <br /> � PERMIT R Combinaticn �� Plumbing WOFX R Alteration I � Electric <br /> TYPE D Demclilion LJ Sign IYPE � Nev: Gas <br /> i U Sprinkler Repair/Maint. Other <br /> ICONTRACT PPICE OF WORK 5�U00.00 C�TY OF EVERETf LOCAL SALE3 TAX COOE IS 3105 <br /> WORK DESCRIPTION <br /> i <br /> Supply and install plumbing fixtures <br /> PLUM8ING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEId N0. TYPE OF FIXTURE OR ITEM <br /> � �_ WATERCLOSET _ A/C—A/HANDLINGUNITS <br /> BATHTUB _ FORf,ED AIR SYSTEMS <br /> 3 LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> 1 KITCHEN SINK 8 DISPOSAL _ CLOI'HES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACEINSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DFiAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK (SERVICE'BAR/NOP/ETC.) _ EXHAUST FAN <br /> 1 OTHER HoC Water Tank _ OTHER <br /> I <br /> I HEfiEBY CERITIFY'HAT I HAVE READ AND EXA�dINED THIS AFPLICATION AN�KNOW THE SAME TO BE TRUE ANO COflHECT. nLL <br /> PqOVISIONS OF LAWS AND OAIDINACES GOVERNING THIS NPE OF WORri WILL BE COMPLIED VVITH WHETHEfl SPECIFIED HEREIN OH <br /> NOT. THE GFANTING OF A PERMIT DOcS NOT PRESUME TO GIVE AUTHOFIN TO VIOWTE OF CANCEL THE PROVISION OF AfJY OTHER <br /> STATE OR LOCAL LAW REGULATWG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTICN. THAT 1 AM AUTHORIZED BY THE <br /> OWNEF OF TH�S P P PERFORM THE WORK FOR WHICH APPLICATION IS h1ADE AN�I COMPLY WITH THE STATE <br /> CONTRACTOF.'i L 1927 FC ND 296.200 WAC. <br /> , 11/6/0� <br /> SignaWre oPOwnenContra �odAuthorized Agent Da�e <br /> . I <br />