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F��t�MIT APPLICATIQi�I <br /> CITY OF EVERETT PERMIT SE•.RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT# <br /> 3801 Oak Ave. �����J <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS PHONE <br /> � <br /> l l J��� �7 ('r�rt L' / <br /> TENANT NAME I CONTACT NAME I PHONE <br /> Carnegie Building 360 848-9093 <br /> Snohomish County Justice Center Richard .1. Sigmen <br /> CONTRACTOR ADDRESS CONTR. LICENSEM <br /> , . Commercial Fire Protection, Inc. I 19S293Bennett Rd. Mount Vernon, Wa• COMMEFP132MM <br /> PHONE <br /> PROPOSED USE OF BUILDING Building � Mechanical Addition HEAT SOURCE <br /> PERMIT R Combination Plumbing WORK � Alteration � Electric <br /> Jail T7FE � Demolition Sign TYPE New Ges <br /> Sprinkler Repair/Maint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAIf CODE IS 3105 <br /> WORK DESCRIPTION <br /> Sprinkler relocation and additions <br /> PLUMBING MECHANICAL <br /> Np, TYPE OF FIXTURE OR ITEM N0. TYPE OF FlKfURE OR ITEM <br /> WATER CLOSET A/C–A/HANDLING UNITS <br /> BATHTUB �� _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) � � _ �, �•� <br /> SitOWER � P _ UNTTHEATERS ,Q.,�- � �� <br /> KITCHEN S�NK 8 DISPOSAL �liQQ�� CLOTHES DRYER � 1, l, � <br /> DISHWASHER !`J � _ RANGEHOOD 1�, .� �� .-/ <br /> LAUNDRY TRAY !� �O `�' _ WATER HEATER �• <br /> CLOTNES WASHER O _ METAL FIREPLACE/STOVE `' �i� ��� <br /> URINAL `�`�� _ FIREPLACE INSERT ' <br /> _ DRINKING FOUNTAIN G���V _ GAS FIREPLACE ' � �y � <br /> FLOOR DRAW �\ _ GAS RANGE �' "• I ,� <br /> — BACKFLOW PREVENTER p��fj� _ GAS PIPING / � I�j��� <br /> SINK(SERVICFJBAR/MOP/ETC.l _ EXHAUST FAN / � 1 0 <br /> �L OTHER c.._a..��tem = OTHER �� <br /> � <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TVPE OF W09K WI�L BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOWTE OR CANCEL THE PROVISION OF ANY OTHEii <br /> STATE OR LOCAL LAW REGULATING GONSTRUCTION OR TtiE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOPM THE WORK FOR WHICH APPLI�A710N IS MAOE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 18.27 RCW AND 296.200 WAC. <br /> Signature of Owner/ContractodAuthorized Agent Date <br />