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P(tRMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 —FAX 425-257-8857 <br />SITE ADDRESS <br />PARCEL TAX I.D. # <br />PERMIT # <br />LEGAL LOT NO. BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS ZIP PHONE <br />.--Z / 7 /t/ A ✓P g,Qo20`f 'f;Ls" -3 c/8'-/02 <br />TENANT NAME I CONTACT FO ERMIT PHONE <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />PHONE <br />PROPOSED USE OF BUILDING <br />Guilding f'1 Mechanical <br />Addition <br />HEAT SOURCE <br />PERMIT � Combination1LKdJY Plumbing <br />WORK <br />Alteration <br />p <br />D Electric <br />TYPE Demolition Sign <br />TYPE <br />New <br />Gas <br />SprinBler <br />Repair/Malnt. <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />WORK DESCRIPTION <br />a <br />�r�ot qp5 �,Pi"c/ qnr�! /r//v�G f0/ tNa�l/ /1PP-><</' urYir T//e.�JIGGe <br />C/ P <br />PLUMBING <br />MECHANICAL <br />N0. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />WATER CLOSET (TOILET) <br />A/C — A/HANDLING UNITS <br />_ <br />BATHTUB <br />AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />_FORCED <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK 8 DISPOSAL <br />DRYER <br />_ <br />DISHWASHER <br />_CLOTHES <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />_ <br />URINAL <br />FIREPLACE INSERT <br />_ <br />DRINKING FOUNTAIN <br />� <br />GAS FIREPLACE <br />_ <br />FLOOR DRAIN <br />RANGE <br />_ <br />BACKFLOW PREVENTER <br />_GAS <br />GAS PIPING <br />_ <br />SINK (SERVICE/BAR/tv:OP/ETC.) <br />EXHAUST FAN <br />OTHER <br />OTHER <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 WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRA ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE_ OR LOCAL REGULATINONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />GJ <br />OWNER OFT IS PROPERTY TO PE OR E WORK FOP, WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC - SLAW 18.27 RCW D 29 0 WAC. <br />t <br />Si azure of Owl / ontractor/Authorized Agent "ale <br />DEBIT R CREDIT CARDS ARE NOT ACCEPTED <br />