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P.RMIT APPLICATILA <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS T C/— G J PARCEL TAX I.D. M PERMIT a <br />3 eO3 W• CAS b✓u I I Q e /_ <br />LOT NO. I BLOCK I TRACT <br />6 c�Lv--/n/clj <br />It:NANT NAMF I CONTACT NAME PHONE <br />B0c//✓ce <br />mal;LViHIa <br />PHONE <br />ADDRESS <br />ZIP CONTR. LICENSE 0 <br />PROPOSED USE OF BUILDING <br />/,1 � � <br />T r-r /� `�, <br />Building D Mechanical <br />PERMIT Combination jFL'-'i(( Plumbing <br />TYPE ��—g((( <br />IJ Demolition Sign <br />Sprinkler <br />(WORK <br />TYPE <br />Addition <br />Alteration <br />New <br />Repair/Maim. <br />HEAT SOURCE <br />I� Electric <br />LFKl1 Gas <br />Other <br />CONTRACT PRICE OF WORK ( <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310S <br />604'7-ccr Tft-E- 5T A/2 <br />NO. I TYPE OF FIXTURE OR ITEM <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 />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER__ <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <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 />EXHAUSTFAN <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 COM^LIED 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 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 / <br />ACTORS LAW 18.27 RCW AND 296.200 VAC. <br />