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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />vFl1c+4 <br />SITE ADDRESS PARCEL TAX I.D. N PERMIT <br />3 o 3 R a Evele+f 1 Co301-C)3-1 <br />LEGA LOT NO. BLOCK TRACT <br />DESC. <br />1,-, % kl�a-rtn �IFt9 1-1 c }�Mr II tZJ LK5T6� S�seyas 3s� 37dS <br />TENANT NAME CONTACT NAME PHONE <br />A/<lC, JSI c.. (', 4.(cc 4C{ Nll A /40xlzo� t"/as 3S937vs <br />CONTRACTOR �i�Pcr s'ro•a ConyAtc yr2 W✓ ADDRESS ) OV 1 �, nA r ici-lPlh' <br />PHONE 61.K02 S <br />335 32a5 <br />LL kr• 5 •(CvG1 S <br />h ZIP CONTR. LICENSE e <br />7700 <br />PROPOSED USE OF BUILDING I riuilding I3iMechanical Addition NEATSOURCE <br />PERMIT ombination IIL-J'�( Plumbing WORK Alteration Electric <br />TYPE emolition Sign TYPE ew P-Gas <br />prinkler (a of heads) Repelr/Maint. Other <br />CONTRACT PRICE OF WORK I CITY OF EVERETT LOCAL SALES TAX CODE IS 31D5 <br />WORK DESCRIPTION <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINK114G FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER, <br />_ <br />A!C— AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <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 />_ <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 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE. OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OFTFj aPROPEEjj7+TyjSS PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAGTOjiS LAVy-i1;,2T'RCW ANO 296.200 WAC. <br />/(J <br />