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P MIT APPLICATIO <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />PARCEL TAX I.D. N <br />PERMIT x <br />�� So / - 7-9 Xve S, E. <br />I <br />Xe2 , -? <br />LEGA LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />r <br />ER ADDRESS ZIP PHONE <br />/ /,, // <br />C�c f�VA;4,,y SOD9-//2,`'Xue /AE (fZ)JPZ7-2690 <br />/7O <br />TENANT NAME <br />CONTACT NAME PHONE <br />n//� <br />�k G✓A;1-7 (L/,?s),P27-2690 <br />CONTRACTORN/ ADDRESS ZIP CONTR. LICENSE x <br />PHONE <br />PROPOSED USE OF BUILDING <br />Building fa -Mechanical <br />Addition <br />HEAT SOURCE <br />PERIkIT <br />Combination ILF---J(( Plumbing <br />WORK <br />Alteration <br />Electric <br />TYPE <br />Demolition Sign <br />N <br />TYPE <br />New <br />H <br />Gas <br />Sprinkler <br />Repair/Maint. <br />t3 Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL TAX CODE IS 3105 <br />/SALES <br />WORK DESCRIPTION <br />// <br />c- QMoJe !�"''�'r/ e /e Gh-,C- �G7Se. h peS—pGr a47!re <br />uS G+Cf �✓F%Y �tBt.�h <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />WATER CLOSET <br />A/C-A/HANDLING UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK 8 DISPOSAL <br />CLOTHES DRYER <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />✓ <br />WATER HEATER <br />_ <br />_ <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />_ <br />URINAL <br />FIREPLACE INSERT <br />_ <br />DRINKING FO—JTAIN <br />GAS FIREPLACE <br />_ <br />FLOOR DRAIN <br />GAS RANGE <br />_ <br />BACKFLOW PREVENTER <br />GAS PIPING <br />_ <br />SINK (SERVICE/BAR/MOP./ETC.) <br />EXHAUST FAN <br />OTHER <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 oF6b1NACES 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 O CAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />Tk <br />OW OF HIS PRO ERTY T PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY VJITH THE STATE <br />296.200 WAC. <br />CogTRAC RS LAW 18.27 FIT ATth, <br />I% Z CI L <br />Sign lure o caner/ ontractor/Arized Age Date <br />