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� r � <br />SITE AD�D�R.,ES�S� <br />LEGALI � OT NO. <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES , <br />3200 CEDAR STREET, EVERETT, WA 98201 %2� �j30 <br />425-257-8810 — FAX 425-257-8857 C , <br />PARCEL TAX I.D. N <br />TRACt <br />CONTACTNAME <br />CONTRACTOR1 ADDRE3S <br />Aid' �'y ST21+�S �nJf i/ICGn��lg, Tn t, •q�Q.�(o2 S. P nPSf�c4N0. <br />PMONE ZS3-S7Z��J�Qc� <br />PROPOSED USE OF BUILDING <br />OF�1c� �' �tAss�2c�MS <br />CONTRACT PRICE OF WORK <br />Building f�" Mechanical <br />PERMIT B Combination'�} Plumbing <br />7YPE ❑ Demolition U Sign <br />U Sprinkler <br />� <br />� <br />a <br />'ZO� � ZS— <br />PHONE <br />Q2S -�'31-38zS <br />21P CONTR. LICENSE I <br />�jB�%D`7 Oil�S`1��2z4� <br />Adtlilan HEATSOURCE <br />AMeration Electric <br />New Gas <br />RepaidMaint. Other <br />CITY OF EVERETT LOCAL SALES TA%CODE IS 7105 <br />WM�� �.��e,��`s-hy9 hlvi�C sys�e1n�s �r ne,,., -�'I�ar��an/.� i2eloc0.fiIe fwo ex;si-%n9 <br />Ne�� ,�.r�P1s � ruodi�y �lH�'i-dTs'I�vbk'�'�an� ,�d� P,-pHcn+'tUr u.��i-f12�a� an�s�clea;f <br />YVlo�ii�N �`T�rp�ping �R� neGTpuwp Yploc4fRrtS� %�an[e a1�4iI'SyS��Nt�ini.l. . <br />�. �.. �.... f ue wu�nw� <br />NO. I TYPE OF FI%TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — AlHANDLING UNITS <br />FORCED AIR SYSTEM$ <br />HEATPUMP 4—reloca're only <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER _ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAAIINED 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 COMPLIE� WITH WHETHER SPECIFIE� HEREIN OR <br />NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTMER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I.�M AUTHORIZED DY THE <br />OWNER OF THIS PROPERiY TO PERFORM TFiE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONT 9TORS LA 8.27 RCW AND 296.200 WAC. / <br />��;'1 _ /�/13��Z <br />