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JUL-27-2005 12:33 PM STPTE.MECHANICHL.CO 'i— — _ _— P.02 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES M1 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8610 — FAX 425.257.8867 <br />"`C�01/0/-btu I <br />SITE ADDRESS `� J T. I PARCEL TAX I.D. a <br />pPE T�e� <br />EOA LOT N0. DBLOCK iRACT <br />I E9C. <br />OWNER SS ZIP PRONI <br />Lit . <br />' TENANT NAME I CONTACT NAME PHONE <br />I <br />I <br />CONTRACTOR"^-TA'1-C idc6-4AAl1eAL AODRESSCt� Ind.•••,. •'Ej ZIP CONTR. UCENEE0 <br />PHONE <br />_(rn6) 1)S-'1 Sr-7 <br />PROP BED USE OF BUILDING <br />�.N A.r [rC •l <br />9 Iding <br />D Mechanical <br />Aenitlnn <br />HEAT SOURCE <br />PERMIT <br />Combination <br />®PlurnbmWORK <br />AllerauonTYPE <br />Demolition <br />p <br />D Sign <br />TYPE �) <br />Naw <br />Oea <br />Scrinkler <br />RepairAdelnt. <br />I <br />[u� Other <br />CONTRACT PRICE OF WORK 6r A- CITY OF EVERETT LOCAL BALES TAX CODE lE 3108 <br />WORK DESCRIPTION �e . c ` . L„ . I I c.-. \ / - - <br />e.. <br />-.- <br />--pLUMIMING <br />N0. TYPE OF FIXTURE OR REM <br />ME RANI <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />WATER CLOSET <br />BATHTUB <br />LAVATORY IWASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL. <br />DRINKING FOUNTAIN <br />FLOOR URAIN <br />SACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER— <br />.� <br />N <br />— <br />_ <br />— <br />_ <br />WC — 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 />w <br />— <br />_ <br />_ <br />_ <br />_ <br />_ <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 ORt01NACES 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 EOUTATING CONSTRUCTION OR THE PERFORMANCE OR CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF T ROP TY TO PERFORM THE WORK FOR'WHICH APPLICATION 19 MADE AND I COMPLY WITH THE STATE <br />CONTRACT }V 27 FICW AND 20e.2C0 WAC. <br />y 6-07 <br />oS <br />