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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS I PARCEL TAX I.D. R PERMIT « <br />7WO f4AFWZ,0v i 1� IF�3►y— - <br />LEGA LOT NO. BLOCK TRACT <br />CDM.MuNr k� TRA05rr <br />NAME <br />CONTRACTOR <br />-T 1W PA-rC650144 . 0 <br />CONTACT NAME <br />>we bt vf-:�Kj 4149- <br />ADDRESS <br />PHONE ��( iN Z' FD pg0&4e 3 <br />PROPOSED USE OF BUILDING H Building Mechanical <br />PERM R Combination R Olumbing <br />'>ToQtaC7 � TYPE Demolition he Sign <br />Sprinkler (M of heads) <br />CONTRACT PRICE OF WORK <br />XSA <br />-?S 3Z <br />ZIP CONTR. LICENSE 1 <br />��l E,! nITTD <br />HEAT SOURCE <br />[� Electric <br />B Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310S <br />Addition <br />Alteration <br />New <br />RepeirlMaMt. <br />WORK DESCRIPTION <br />r44-6?t.- f VMd11A)j 7�,ireAs <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR REM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISFOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />_ <br />_ <br />A/C — AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS P.ANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />— <br />_ <br />_ <br />_ <br />— <br />I HEREBY CERITIFY T1147, I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE T r.UE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVER14ING 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 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 I COMPLY WITH THE STATE <br />