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(� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ` <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 n� / I ' Oa�_ <br /> Y <br /> SITE ADCRESS M<rr:tl Crtck Pnrkwar PARCEL TAX I.D.N PERMIT x <br /> au;�a;� � g su,a< �a �— <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER AODRESS <br /> ZIP PHONE <br /> TENANT NAME I CONTACT NAME PHONE <br /> CONTRACTOR J.i.S p�,,,w.b�V.c, ADDRESS ltU� U...:ov� Av< <br /> ZIP'ISL7cCONTR.'JCENSE N <br /> TSPw�"ou3ca <br /> PHONE 3�o-t,5g-4R�q <br /> PROPOSED USE OF BUILUING Building I, Mechanical Addition HEAT SOURCE <br /> PERMIT Combination Lhy�( Plum6ing WORK Alteratlon R Electric <br /> TYPE Demolilion U Sign TYPE � New �j Gas <br /> Sprinkler Repeir/Mainl. L� Other <br /> CONTRACT PRICE OF WORK CITV OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> WORKDESCRIPTION �tN�,�- �����oJ�[wtt,v�.'� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FlXTURE OR ITEM <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 RANGE HOOD <br /> ._ LAUNDRYTRAY WATER HEATER <br /> _ GLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSER7 <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> 1 FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> I SINK(SERVICEIBAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EX.4MINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TVPE OF VJORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO G�VE 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 /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> //'a�7-o/ <br /> Signature ol OwnadConlractor/Authonzed Agent Date <br />