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Pr9MIT APPLICATIC J <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. k <br />PEFLVI# <br />aso <br />LEGA LOT NO. <br />BLOCK <br />TRACT <br />DES C. <br />OWNER ADDRESS ZIP PHONE ZaG <br />Jt'40res szo 4ve Qc 5iL4-E61tee " °/ czs-9SOC <br />TENANT NAME <br />I CONTACT NAME PHONE <br />CONTRACTOR S-rATL M1E"AN ILA V.. ADDRESS 600 osl.s#,y Dr Ot ZIP CONTR. LICENSE <br />T4-..,1. ✓t gP�eB srra7EMCI��Ii <br />PHON�GY, S75— ?SZ 7 <br />PROPOSED USE OF BUILDING Building MechanlCal Addition MEAT SOURCE <br />PERMIT R Combination Plumbing WORK R Aneratlon j� Eler.Iric <br />I <br />TYPE B Demolition Sign TYPE B New Oao <br />I <br />6` <br />Sprinkler Repair/Maint. Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION '1 r c a j ; • N �0 �� 2 Zc�o� OCKJ F�TU J,, , lf- <br />VV g P � ' � <br />c (71.30 <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-AIHANDLING UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) , <br />HEAT PUMP <br />_ <br />SHOWER �j <br />1 <br />UNIT HEATERS <br />_ <br />KITCHEN SINK & DISPOSAL a• <br />a <br />CLOTHES DRYER <br />_ <br />DISHWASHER �� C==' <br />1 <br />LAUNDRY TRAY l�P �(P <br />RANGE HOOD <br />_ <br />Q <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />URINAL <br />METAL FIREPLACE/STOVE <br />✓1 C) \ <br />FIREPLACE INSERT <br />_ <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />BACKFLOW PREVENTER G\� �� <br />= <br />GAS RANGE <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />_ <br />OTHER <br />OTHER _ <br />I HEREBY CERTIFY 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 LOCH EG LAYING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF PROPER TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />C^•'TRA A is RCW AND 296,200 WAC. <br />Sign urea w erlContra,for/Authorized Agent Data <br />