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ARMIT APPLICATAN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 - FAX 425-257-8857 <br />SITE ADDRESS " 7 PARCEL TAX I.D. N PERMIT 8 <br />LEGA LOT NO. BLOCK TRACT <br />DESC. <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />6�z <br />��, <br />�r �.�, <br />/3�//� <br />a 04- <br />.�s�� to r o - 6 3G (- <br />CONTRACTOR <br />ADDRES LP CONTR. LICENSE( <br />3 <br />1419Fha.,✓���y <br />G <br />PHONE/ <br />/ <br />1f�,5 <br />Qr� � a <br />S % /i��'ar�ihr /1h/7.ko4A Ag4a L d <br />PROPOSED USE OF BUILDING <br />Building F"1 Mechanical <br />Aud,lion <br />MEAT SOURCE <br />PERMIT <br />R Combination {Lp�J( <br />Plumbing <br />Alleral�on <br />j7 ElectrK <br />TYPE <br />B Demolition Sign <br />(WORK <br />TYPE <br />New <br />B Gas <br />I <br />Sprinkler <br />ReVmr Maim <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310S <br />WORK DESCRIPTION <br />TYPE OF FIXTURE OR ITEM <br />LATER CLOSET <br />ATHTUB <br />4VATORY (WASH BASIN) <br />HOWER <br />ITCHEN SINK 8 DISPOSAL <br />ISHWASHER <br />4UNDRY TRAY <br />LOTHES WASHER <br />RINAL <br />RINKING FOUNTAIN <br />-OOP DRAIN <br />4CKFLOW PREVENTER <br />NK (;;ERVICEBAR/MOP/ETC.) <br />THEE. <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNITS <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 LANS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN CIA <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 />CONTRACTORS LAW 18.27 ROW AND 208.200 WAC. <br />