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P�r�MIT APPLICATIC .J <br /> CITY OF EVERETT PERMIT SERVICFS <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8D10 - FAX 425-257-8857 , 1 <br /> __ I' �it) �07�0 � <br /> SITE ADORESS PARCEL TAX I.D.M PERMIT x <br /> i000s 25th Ave. s.E. zsosa� oos oio 0o QDaC7-c3g' <br /> LEGA �see�attach d BLOCK TRACT <br /> DESC. <br /> OWNER � ADDRESS ZIP PH E <br /> Verizon Northwest P.O. Sox 1003, WAOlO1LB, Everett, 98206 �er Wollebek <br /> 425 261-5408 <br /> TENANTNAME I CONTACTNAME PHONE <br /> same as above Kord Kurisu / Architect 425 870-0368 <br /> CONTRACTOR AODRESS ZIP CONTR.LICENSEM <br /> PHONE <br /> PROPOSED USE OF BUILDING Building D Mechanical ������,,,���ttt,,,/// Addilion HEAT SOURCE <br /> PERMIT � Combination U Plumbing WORK � Alteration � Electric <br /> Telephone Switch Bldg TyPE Demolition U Sign 1YpE New Ges <br /> Sprinkler FepaidMaint. Olher <br /> CONTRACTPRICEOFWORK $ZOO�� OO .00 G�� ��� CITYOFEVERETTLOCALSALESTAXCODEIS3105 <br /> . <br /> WORK OESCRIPTION � � � '� <br /> Provide a 1, 063 s. f. addition to the existing 1,349 s.f. telephone switch <br /> buildina. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FlXTURE OR ITEM <br /> _ WATERCLOSET _ A/C—A/HANDLINGUNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ �AVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY • WATER HEATER <br /> _ CLOTHES WASHER _ METAL F'�iEPLACE/STOVE <br /> _ URINAL FIREPLA�;;E INSERT <br /> _ DFINKING FOUNTAIN GAS FIREPLA�E <br /> _ FLOOR DRAIN _ GAS RANGE <br /> � _ BACKFLOVt'PREVENTER GAS PIPING <br /> _ SINK(SERV:CE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> —I <br /> � I NEREBY CERITIFY ,THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> � PROVISIUNS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> N07. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> , STATE OR LOCAL LAW REGULATING COi 15TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEA OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> I CONTFACTORS LAW 7827 RCW AND 296.200 WAC. <br /> ' /� D�.� 7,���'./U� <br /> � Signalure o OwnedContractodAuthonzed Agent US�e � <br /> � <br />