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P .:RMIT APPLICATI ,N <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 />1330 y <br />ST S E <br />PARCEL TAX I.D. N <br />PERMIT 0 <br />moao�-ooCo <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER <br />ADDRESS <br />ZIP PHONE <br />T2/i`2Y G1th-1 <br />I330 <br />�y STSE r✓✓e.LT wig <br />ibrxog 4-L-290-S'60� <br />TENANTNAME <br />CONTACT NAME <br />PHONE <br />(51%,s IzAtLy <br />-Lob-WHO-40e4 <br />CONTRACTOR <br />61jSTH:11 vhtcl,a�:u,t <br />I JC, <br />ADDRESS <br />115'4'4 11L"-oA"C.vC IQe&. o.O <br />ZIP CONTR. LICENSE M <br />9SJlt e4S7-Hti�044Vti <br />PHONE <br />fro •yObI <br />PROPOSED USE OF BUILDING I Building echanical Atlon <br />PERMIT {R1 Combination Plumbing WORKJoAldl:rnhon <br />r l2 TYPE (J Demolillon Sign TYPENew <br />U SprinklerRepelr/Meint. <br />CONTRACT PRICE OF WORK gS0.O,0 <br />WORN DESCRIPTION <br />HEATSOURCE <br />D Electric <br />�U] Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310S <br />6'0'04ny /} 1Ton i9:✓LLo�O'i.'OHe�POC><IST~y l.+✓2tigcesysTC&-I <br />NO. 1 TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />_ DRINKING FOUNTAIN <br />FLOOR DRAIN <br />_ BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR REM <br />:tj A/L, A/MANULING UNITS 'd Tdh <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />_ GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <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 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 W R GUI G CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TH O R 0 ERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT S W 8 9ND 296.200 WAC. <br />I- VOL <br />