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PL.RMIT APPLICATIC . 4 <br /> 4rar CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT I <br /> 'i0"�r. Bozo--I-03G <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWN ADDRESS ZIP PHOoNN> <br /> TENANT NAME 1 cotottAcT NAME PH <br /> tV <br /> C ,3R/�_ / t ADDRESS EP CONTR.LICENSE I <br /> PHONE /" <br /> t,2 . -7'-damn 7 r'�s"- ?f7--6- f--4-- <br /> PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOURCE <br /> %t-)47-0 <br /> 7 PERMIT Combination 3 Plumbing WORK Alteration Electric <br /> TYPE Demolition Sign TYPE N w Gas <br /> Sprinkler Repair/Mnint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> PLUMBING - MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET _ ASC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> i KITCHEN SINK& DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN __ GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER 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 1 '.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 I AM AUTHORIZED BY THE <br /> ' OWNER OF TI-u S PROPERTY7O PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> . ' CONTRACTQAS LAW 18.27 71 AND 298.200 WAC. <br /> v <br /> 1% �`. o <br /> Signature o // <br /> er/Nntractor/Authorized Agert ale <br /> r <br />