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� Pl�'�MIT APPLICATIO�� <br /> I <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810 — FAX 425-257-8857 <br /> }7 Oy l �—OG� <br /> I SITE AODRESS PARCEL TAX I.D.X PERMiT a <br /> j 6300 ?ferrillCreek Parlcway 23040200301500 �� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> O�YNER ADDRESS ZIP PHONE <br /> �terrill Creck Holdings <br /> TENANTNAh1E CONTACTNAME PHONE <br /> 7.umiez <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE k <br /> � State Plechanical Co 600 Industry Dr II8 Tulnaila Wa 98188 S'fA'PGP1C141C7 <br /> i <br /> i PHONE <br /> 'L06-575-7527 <br /> I PROPOSED USE OF BUILDING (7 Buildin� i""1 Mechanical n Addition HEAT SOURCE <br /> i PERMIT �_� Combinalion �� Plumbing WORK �_� Alteraiion Eleceric <br /> TYPE �...j Demolition U Sign TYPE �,j New Gas <br /> L] Sprinkler L.) Repaidhlaini. Olher <br /> CONTRACT PRICE OF WORK $90U.00 CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> ' WORK OESCRIPTION <br /> Supply and install 1 si�ilc <br /> PLUMBING , MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM1t <br /> WATER CLOSET _ A/C—A/HANDLING UNITS <br /> BATHTUB __ FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) _ HEAT PUMP <br /> � SHOWER _ UNIT HEATERS <br /> 1 KITCHEN SINK& DISPOSAL. _ CLOTHES DRYER <br /> DISHWASHER RANuE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLAC6'STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING rOUNTAI� _ GAS FIFEPLACE <br /> FLOOR DRAIN _ GAS RANG[ <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK (SERVICElBAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER_ <br /> I HEREBY CERITIF'f THAT I HAVE READ AND E?CAMINED THIS APPLICATICN AND KNOW THE SAA1E TO BE TRUE AND CORRECT. ALL I <br /> PROVISIONS OF L4WS AND ORIDINACES GOVERNING THIS IYPE OF WORK WILL BE COMPLIED WITH WHEiHER SPECIFIED HEREIN OR <br /> NOT. THE GRAf1NM1!(rOF7'PERMIT DOES MOT PRESUAIE TO GIVE�UTHORIIY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEA <br /> STATe OR}.EC�I,LAW REGULATING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER T IS PFO ERyY TO PERFORh7 THE WORK POR WHICH AFPLICATION IS t.fADE AND I COMPIY WITH THE STATE <br /> CONTR GT S 1.A 18. RC'N AND 296.200 WAC. <br /> ' - //- 2`/-o y <br /> Signa r o Own uContractor/Authorized Agenl Dale <br />