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OCT-30-01 14:47 FROWNORTHWEST-C —INAR 206-374-0634 T-567 P 02/03 F-637 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SER%I!CES <br />3:200 CEDAR STREET, EVERETT, WA 98201, 42-2-7-8810 <br />SITE ADDRESS 4k PARCEL TAX I.D. 0 PERMIT x <br />53 Sr �l 41e 6,30 0 3vZ yoo6av molio-DgR- <br />LEGAL LOT NO. BLOCK TRACT <br />DESC. _ <br />OWNER I ADDRESS PHONE �f — <br />Weody C4 i 4 r' ��/ ' S 3 I I S Av� asp 9� 5 <br />TENANT NAME CONTACT NAME PHONE <br />N I w c �c o oall4 <br />CONTRACTOR L ; ADDRESS CONTR. LICENSE N <br />'O pro <br />PHONE (7 a��o --i"I,UrA�j� 4 9F FS I WPrS}{Z�SSS� <br />PROPOSED USE OF BUILDING Building �Pl,echanical <br />I Atltlitwn HEAT SOURCE <br />PERMIT Combinationumbing WORK! Alleraron D Electric <br />TYPE DemolitionSign TYPE I New Gas <br />Sprinkler ! PepalrrMaint. Other <br />CONTRACT PRICE OF WORK O O U CITV OF EVERLTT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION I <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISFOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENIZR <br />SINK (SERVICEiBAR/P40P/ETC.) <br />OTHER <br />_ <br />_I <br />^_ <br />P <br />_T <br />AC — AJHANDLING UNITS <br />FORCED AIR SYSTEMS <br />FEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOC.^. <br />WATER HEATER, <br />METAL FIREPLACE'STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHEn„_____ <br />_ <br />_ <br />^_ <br />_ <br />_ <br />_ <br />u <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS CF LAWS AND OF16DINACES GOVERNING THIS TYPE OF WORK WILL BE COMPL IEO 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 PERFORMANCF OF CONSTRUCTION, THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY T:) PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW !8.27 RC'N AND 296.200 WAG. <br />