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r <br />Pr�.RMIT APPLICATII.�V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />TENANTNAME <br />CONTRACTOR n 1 <br />1.74{c NVS �Ut` <br />PHONE yZs- 33�- yvyo <br />PROPOSED USE OF BUIL�ING <br />R�y; �«��� <br />CONTRACT PRICE OF WORK <br />ADDRES£ <br />IC15�Ev� <br />2U�� s'�. 5 -L <br />�u� 1�'LUS <br />Building Mechanical <br />PEAMIT Combinatio Plumbing <br />TYPE Derholition Sign <br />Sprinkler <br />�'/CJI '1L� -�.v' G <br />� PHONE <br />�I�S - 330 - 2Ns� <br />ZIP CONTR. LICENSE N <br />ccv� <br />�uac� !� C7�2�: Z <br />�AddiUon <br />Alterelion <br />New <br />Repair/Meinl. <br />HEATSOURCE <br />iectric <br />Gas <br />lhe� <br />CITV OF EVERETT LOCAL SALES TAX COOE IS 3705 <br />WORKDESCRIPTION n� ��6� J 1 I � ,( I <br />� r�ci�Iooa t!�{�J,� o�Ic�v1c�r�wInI ych�Uaery ��p,,, e�J1�nct u� huUfc. <br />Re�7IQLC. P�Uir( SFCII MCMpCfj, Clelct��v.\���n lacK ol � <br />I / n�lfNPNCel IP/�dII New ,'e�f15, <br />�I�ldaict��eI.lI� cT� Y 1 1 p I I <br />�n�IC�G MVA W �IdY 1���,�t J�(Y �Jn / IL Y�IG,NaIvC'+.\ hf..i 1 � 1 /��Ca4a��.�hu/ <br />� SCN�IL ['[ad� rw �nNi <br />p _....._... ��crueuire� <br />NO. I TYPE OF FIXTURE OR REM <br />�— <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DR�NKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFIOW PREVENTER <br />SINK (SEFVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF FlXTURE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <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 />� <br />elns1��c1 <br />J <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUF AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVEfiNING THIS TYPE OF WORK WILL BE CUMPLIED WITH WHEfHF.R SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOflITY TO VIOLATE OR CANCEL THE F'ROVISION OF ANY OTHER <br />STATE OR LOC LAW REG TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 A'.S AUTHORIZED BY THE <br />OWNER O/F�'H PROp ER�y� /��f0 PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR�jC�J�LAVj/1B./,HCW AND 296200 WAC. <br />/// / � � L -� /� - /1�i <br />�'2 <br />. <br />