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;�-� P 'RMIT APPLICATI�_.N <br /> CITY OF EVERETT PERMIT SERVICES <br /> .._ 3200 CEDAR STREET, EVERETT, WA 98201 , 425-257-8810 <br /> ch»i; <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> _'I I I OAI�I�S AVIi, GVCRG'I'T, NA 93201 00439143800600 �n O /J,.-(�j <br /> �Y I —1 V�/ '� <br /> LEGAL LQT NO. BIOCK ITRACT <br /> DES <br /> OWNER ADDRESS PHONE <br /> CONNOI.I.Y. D,WA 2I I I oAI�L'S AVI: <br /> • GVI:RB"I"I'. \Ur1 9S201 (�-'�)�(13-±3ti? <br /> TENANTNAME CONTACTNAME PHONE <br /> i�nnu.i.niui.� ��; si-�-,i�� .i.;; <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> I ;�5'I' \�'Al'I:R I IIiA'II:R C0�1P:\N1' 12601 132ND AVG NI: <br /> FAS'I'\VIiC0i2DP <br /> (d2i)RW-3124 IiIRKLAND. Al4� 95034 02;1G12007 <br /> PROPOSED USE OF BUILDING Buiminp Mechantca Addition HEAI' SOURCE <br /> PERMIT Combination Plumbing W�RK , Alteralion �Electrie <br /> TYPE Oomolilion Sign TYPE New as <br /> S rinkl r Ra airlMalnt ther <br /> CONTRACT PRICE OF WORK Sa49.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION <br /> Remoec'Replacc Gas 1V,ucr I Icaler <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> ------- <br /> WATER CLOSET ______ q/C-A/HANDLING UNITS <br /> _______ BATHTUB _______ FORCED AIR SYSTEMS <br /> _______ IAVATORY (WASH BASIN) ____�_ HEAT PUMP <br /> ______ SHOWER _ UNIT HEATERS <br /> _______ KITCHEN SINK $ DISPOSAL CLOTHES pRYER <br /> ______ DISHWASHER � RANGE HOOD <br /> ----- - <br /> LAUNDRY TRAY __�__ WATER HEATER <br /> _�__ CLOTHES WASHER METAL FIREPLACEISTOVE <br /> _____ URINAL FIREPLACE INSERT <br /> ____ DRINKING FOUNTAIN GAS FIREPLACE <br /> ___ FLOOR DRAIN � GAS RANGE <br /> ______ BACKFLOW PREVENTER _� GAS PIPING <br /> _______ SINK (SERVICE/BARIMOPIETC.) EXHAUST FAN <br /> _____ OTHER_ <br /> ____ OTHER______ <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECi,qLL <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS 7YPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR N07. TNE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAI.LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TMq71 AM AUTHORIZED <br /> 8Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANO I COMPLY WITFi THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signaturn of OwnerlContractorlAuthorizod Agent , , � Date <br /> . . '- :` � / 04l0� ?00> <br /> 0.1 0^,I <br />