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SITE <br />n� <br />TENANT NAME <br />PEFiMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAX I.D. k <br />� 9 2 �-o o/- <br />1'/�1 q�u�h vri�Y �� J o <br />—T r�p�7 <br />I F'�Kc/.cNnMNET/�]C✓K <br />Scr mi� I <br />CONTRACTEv(,r���/7�l1^S'//7!J f"rU�E/1.'Jr'��y J <br />� IOh <br />PHONE <br />PROPOSED USE OF BUILDING <br />J� � <br />CONTPACT PRICE OF WORK <br />Building Mechanical <br />PeRM17 B Combination �Plumbing <br />TYPE Demolilion U Sign <br />Sprinklor (a ol heetls) <br />_ �n-ou�a� <br />PERMIT a / <br />70.�7o i�� � I 0 • <br />ZIP PHONE ,f� <br />�aC6Y o��� �8201 <br />PHON <br />�/.2.� SO '_ �S y 2 <br />LP CONTR. LICENSE A <br />C'nGbY c=�_v� � �2 0') <br />TYPE <br />Atldition <br />Alteration <br />New <br />Repair/Meint. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />WORK DESCRIPTION (/]� ^Ci,�l.,/��m��� p� C u' � S-T-1 I1 C� �C S� <br />�� fJ <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <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 />NO. I NPE OF flXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />�CLOTHES DRYER <br />RANGEHOOD <br />I WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />_J_ GAS PIPING <br />� EXHAUSTFAN <br />_ OTHER <br />� <br />I HEREBY 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 COMPL�ED WITH WHETHER SPECIFIED HERE!N OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUA7E TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORA9ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS h1ADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />- d4 —.2�0'7 <br />