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P[ .EMIT APPLICATIC J <br />0:77 CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257.8857 <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT a <br />LEGAO LOT NO. BLOCK TRACT ' <br />HVt �it DGr_LG✓uC �G, 9Cifi(/�l-zz3 `4sao <br />TENANT NAME CONTACT NAME PHONE <br />CONTRACTOR ,TAT, MCr-.+nH ic.AL ADDRESS (ro /,-✓ y Or "b ZIP CONTR. LICENSEM <br />T4.,,,1. 1J• yF/fY 5^,:vLNlc Irll � <br />PHONE <br />PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOURCE <br />PERMIT R Combination New Plumbing WORK P <br />Aneratlon Electric <br />TYPE Demolition Sign TYPE Gas <br />Sprinkler Repairltdemt. Olher <br />CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />I <br />A/C-AruANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />_ <br />_ <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />_ <br />_ <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />_ <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />,AS RANGE <br />BACKFLOW PREVENTER <br />_J <br />, �S PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />FXHAUST FAN <br />OTHER <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 LAW-FIEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER AOFPFIOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />W 18.27 RCW AND 296.200 WAC. <br />