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� <br />� <br />SITE ADDRESS <br />L07 NO. <br />P�r�MIT APPLICATIC�.J <br />CITY OF EVERETT PERMIT SERVICES <br />32G0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TAX I.D. N <br />PERMIT M <br />7itrA �1�, . � m.oaJ `ld5 3�J 3 i 4 3 <br />TENANTNAME I CONTACTNAME PHONE <br />��``nn � �a5 �7� �9i <br />CONTRACTORO '' - <br />��,4�,.,, j;.,��.�,.,,,_ ��5�� ADDRESS ZIP CONTR. LICENSE N <br />a J �0�� ., d.._� �? �? <br />PHONE � ^ �---�—�-.. bk0. g�ati� k��.,.�v4-i, W .� , -/BWIb \{t:�•� 48'� � <br />k.15 �t14. Si� I <br />PROPOSED USF OF BUILDING <br />Buiiding Mechenical <br />PERMIT Combinalion R Plumbing <br />TYPE Demoiilion � Sign <br />Sprinkler <br />CONTRACT PRICE OF WORK <br />IrJypm. D, <br />WORK DESCRIPTION , <br />�..ntt�.c�-2 <br />NO. � TYPE OF FIXTURE OR REM <br />n Addition I HEAT SOURCE <br />� �S Alteration Electric <br />KNew �es <br />Ll Repair/MainL Iher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� <br />yf� / Sr� �-"��Z '�*XJn, S wn,fivrvt�' /(�%( � � <br />J <br />�G MECHANICAL <br />N0. � TVpE OF FIICTURE OR ITEM <br />_ WATERCLOSET <br />_ BATHTUB <br />_ LAVATORY (WASH BAS�N) <br />_ SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />_ CLOTHES WASHER <br />_ URINAL <br />ORINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />_ SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMF' <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY 7HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORIOINACES GOVERNING THIS TYPE UF WORK WILL BE COMPLIED WITH WHEfFiER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THt PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO PERFOqM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 29fi.200 WAC. <br />�L <br />