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PERMlT APPLIC�TIGnI <br />CITY OF EVERETT PERMIT SER.VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />o � L,,� � � r <br />LEGAL LOTNO. BLOCK TRACT <br />DESC. <br />OWNER ADDRE <br />CV �� <br />TENANTNAME <br />CONTRACTOR �e'JYilT/�E MLZh�NivAC� <br />PHONE h. �—s50 —�JS�� <br />�'(/J <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />PARCEL TAX I.D. # <br />CONTACT FOR PERMII <br />PERMIT # <br />rnune <br />ADDRESS `i D• aUk S�/ � ZIP CONTR. LICENSE # <br />.�u r�u �r.�.s +� u/�J 9 �39L <br />i i' _ <br />Building �] Mechanical <br />PERMIT R Combii�ation y� Plumbing <br />TYPE Demolition �U Sign <br />B Sprinkler <br />Addition HEAT SOURCE <br />WORK Alteration R Electric <br />TYPE New �{ Gas <br />Repair/MainL LJ Other <br />CITY OF EVERETf LOCAL SAl.ES TAX COOE IS 3105 <br />WORK DESCRIPTION <br />yZ� � Gt�2�/� r i,�i �GL� � GL �� � 0 � <br />�..�, _ <br />�tUu-� (iJ ,� 6uc �- I,.� r�,.y-�.2A, tu � uc�G�e.-�- D rzra„J <br />PLUMBING MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATGRY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOk DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />J4 � r W n r� /-Ft-n �'�L <br />A/C — A/HANDLING UNITS <br />FORCED 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 RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />i HEREBY CERITIFY THAT I HAVE READ F.ND EXAMINED THIS APPLICATION AND KNOW THE SAM17E TO P.,E TRUE AND CORRECT. FLL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COM11PUED WITH IVHETHER SPEGFIED 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 />STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I A�d AUTHORIZED BY THE <br />OWNER OF THIS PROPERN ?O PERFORM THE WORK FOR WHICH APPL CATION IS MADE AND I COM11PLY WITH THE STATE <br />C�JTRACTORS LAW 78.27 RCW AND 296200 WAC. <br />r �„ .,� _�. ��.� �> 3-l0 - 0 4- <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />