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PC6.RMIT APPLICATIk.N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> C-0al a-ooh <br /> SITE ADDRESS PARCEL TAX I.D.K PERMIT e <br /> 3 N, SR *17/ 7 000 (?vc 00 oq - <br /> LEGA LOT NO. BLOCK TRACT ^ MM <br /> DESC. 3 S I P. <br /> OWNER ADDRESS ZIP PHONE <br /> CaRN f` 9.0r `BOK `r8a <br /> TENANT NAME I CONTACT NAME PHONE <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE 0 <br /> �F.uNoit:=F CO r TO, aDK 64 <br /> _ w, r'I+po vjA en1-� 'TENNOc* OUW7 <br /> PROPOSED USE Or BUILDING ui"In I"1 Mechanical Addition HEAT SOURCE <br /> PERMIT ombination 1LF--J(( Plumbing WORK LR.� A�neralion EI trie <br /> 5n/NGLL` JzAMIu( TYPE Demolition sign TYPE Ly New I a, <br /> pe5101wee Sprinkler uU Repair/Maint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> 5C-1 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. ','1'PE OF FIXTURE OR ITEM <br /> WATER CLOSET r AIC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) HEAT PUMP <br /> / SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL L CLOTHES DRYER <br /> DISHWASHER I RANGE HOOD <br /> L LAUNDRY TRAY f WATER HEATER <br /> I CLOTHES WASHER METAL FIREPLACEISTOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER `jZ GAS PIPING <br /> — SINK(SERVICE/BAR/MOP!ETC.) EXHAUST FAN <br /> — OTHER OTHER <br /> i <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 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 THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAC RS LAW 18 7 C '' 'ND 290.200 WAC. <br /> Signature a wn n on for/Aulhonzed Agent ate <br />