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PERMIT APPLICATION <br />CITY OF EVERE'TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITEADDRESS�%OONARDESD/J R PARCELTAXI.D.• MIT• <br />9 I 0� "a 12 -0000 I� �l � O/ S <br />LE LOTNO. BLOCK TRACT <br />oesc. �' _bT T�4GT 7L <br />INTR A coRP ADDRESS LP PMONE <br />w.enn�. ��.,ac✓ t�i- 7Lw� �fN�AJC n.�,r �.,,, riQ�n� in_�\�n0_dcin <br />TENANT NAME CONTACT FOR P�RMIT PHOAE <br />CaA5T14L N�RMAFi4c.lvlWnll'� I f311,�Moti�i�or�ERY 2o6-S1p-296� <br />CO�� ��E 5��,,.��5 �� SEAN,�1lER5�• �" CONTR.LICENSEi <br />PHONE�'`�'/�I_� C�WAw�lo�, BYRNESC��347'3 <br />.W l� V 17 `1 <br />PROPOSED USE OF BUILDINO <br />MqNu <br />CONTRACT PRICE OF WORK <br />!�J <br />Buildinq DMechanical <br />PERMIT B CombinaGon D Plumbin9 <br />TTPE Demolition �) Sifln <br />Sprinkler <br />BAAEIUon HEAT SOURCE <br />Aqeration �i ElsGtk <br />g�.�, g �.. <br />R�WWMUnL Oflwr <br />CITY OF EYERETT LOCAL SALES TAl( CODE IS N06 <br />WORK OE9CP.IPTION <br />IIJST7+u„�toN aF l000 Li�r+. (Z64 Gquo,us)iV14CuuM �NSu1.A�D� ��Qull� <br />N 11'�GEN SiaRa6E Tq�lK INc1uDwG V�PewzF.R � suPP�Y (6�s) W(r <br />�a M�.i,a� cuTr�Na s <br />PLUMBING MECHANICAL <br />NO. � TYPE OF FIXTURE OR ITEM N0. I TYPE OF FI%TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL 0 �r� <br />DISHWASHER / t� <br />LAUNDRYTRAY � � f.� <br />CLOTHES WASHER :4 � <br />URINAL <br />DRINKING FOUNTAIN � r ' F <br />FLOOR DRAIN � r � <br />BACKFLOW PREVENTER i 1 <br />SINK (SERVICE/BAR/MOPIETC.) � <br />_ A/C - A/HANDLING UNITS <br />r li = FORCED AIR SYSTEMS <br />HEAT PUMP <br />_ UNIT HEATERS <br />CLOTHES DRYER <br />� _ RANGEHOOD <br />WATER HEATER <br />7 � METAL FIREPUICE/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 AND EXAM:NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED 1MTH NMETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTPUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY N7TH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. , <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />