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��RMIT APPLICATI(�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96207, 425-257-8810 <br /> SITE ADDRESS PARCEL TAX 1.0.t PERMIT N <br /> 0(0 � <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS � IPHONE <br /> I <br /> TENANT N ME n I CONTACT NAME j PHONE <br /> (�(��--�G� l.�L1111 C � i <br /> CONTHACTOR ADDRESS CONTR.LICENSE• <br /> COIR�fERCIAL FIRE PROTECTION,INC PO BOX 128 MOUNT VERNON, WA 98273 COlQSEFP132MM <br /> PHONE <br /> PROPOSED USE OF BUILOING Buildiny � Mechanicai Aaaicion HEAT SOURCE <br /> PERMIT � Combination Plumbin� WORK � A�ceration � E�actric <br /> -� TYPE Demolition Sign TYPE Ne++ Gas <br /> � Sprinkler PepaidMamc MMr <br /> CONTRACT PRICE OF WORK (1 E� 41.UlZ CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> � �S�— <br /> WORK DESCRIPTION <br /> RELOCATION OF HEADS <br /> ����� <br /> PLUMBING � MECHANICAL <br /> N0. TYPE OF Fl7(TURE OR�TEM 1 ()� (�OP NO. TYPE OF Fl%TURE OR�TEM <br /> WATER CLOSET �(� _ A/C-A/HANDLING UNITS <br /> _ BATHTUB P � � HEATPUMP SYSTEMS <br /> L4VATORY(WASH BASIN) I f, <br /> _ SHOWE9 / I � UNIT HEATERS �1 V <br /> KITCHEN SINK& DISPOSAL ��� Y ,_ CLOTHES DRYER V <br /> _ DISHWASHER _ RANGEHOOD A1, � �O <br /> = LAUNDRY TRAY WATER HEATER n�� <br /> — CLOTHES WASHER METAL FIREPLACE/STOVE � d <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENSEH GAS PIPING <br /> _ OTHE`RERVICE/BAWMOP/ETC.) � EXHAUST�� 1 ,,,, J� <br /> OTHER 1'«1N,0 <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 WQRK WI�L BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANT�NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TC�VIOLATE OR CANCEL TME PROVISION OF ANY OTMEfi <br /> STATE OH LOCAL L4W REGULATING CONSiRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV TME <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE - <br /> CONTRACT S LAW 1827 RCW AND 296200 WAC. <br /> . <br /> � , — vZ <br /> Sig ure ot Owned t ctod th 3ed Agenl Date <br />