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T0:14252578857 P.3 <br /> OCT-6-2004 11:45 FROM: 1 <br /> l <br /> PERMIT APPLICATION � <br /> 4 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 2S 57 881�0 E FAX 25-257 8598201 <br /> PARCEL TAX I.D.M ��7� <br /> srtEnou�ssµ^. r � �- Db(oo(o3 00 �$� �u � o -� 3 <br /> 3�T Np. � BLOCK 7RACT <br /> oex. o Zr <br /> �oo ss <br /> �rcin k 7Z.e M �eY 3Zo f� �d9-r S�' ����1�3 Z�f-��37 <br /> PMONE �j <br /> 7ENANT NAME I CONTACT F01t PERMR _ /�� ��O � 2 �O <br /> `v`�'�'� LlY1C(�- `i <br /> CON7RACT01t <br /> ADDRESS �rt7r�- Z��`/ LP CONTR LIClNBE• <br /> P�p`�� ��`��''�y�'e (�1y9 �'Q�'N9� ag <br /> �OCo '2—S'Z Z�� euiwino wiecnanicai naaina, HEATSOURCE <br /> PR��ED USE OF BUILDING Wq�K R q�lentbn �Eiectric <br /> PERMR R Co�nbirretion wmane K � �p <br /> /1{�—� 7�,pE B Oertalitbn �9^ �E LJ RepairMlalnt. �' <br /> � /—'/<� sv�+naer <br /> S��Z r Cm OF EVER67T LOCA�SALES TAX COD61S 3104 <br /> GONTRACT PRICE OF�NORK . r � �, <br /> W01tKDESCRWTON (�AS �jq C(.r �U 1 I I�CC Q�_ <br /> �! Ch�n�e r��_.S <br /> MECHANICAL <br /> PLUMBING <br /> NO.. TYPE OF FIXTURE OR REM <br /> NO. TYPE Oi P�1(T1RE OR�hM� <br /> q�C-p,I HANDLING UNITS <br /> WATER CLOSET(r��LE'� T FORCED AIR SVS7EMS <br /> — gAhfTUB —� HEAT PUMP <br /> — LAVATORY NVASH BASIN) — UNIT HEATERS <br /> — $HpWER — CLOTHES DRVER <br /> KITCHEN SINK 8 DISPOSAL ' qJJJGE HO00 <br /> DISHWASHER � WATER HFATER <br /> LAUNDRY TRAY �„��7q�.FIREPLACE/STOVE <br /> — CLOTME3 WASHER — FIREPIACE INSERT . <br /> URINAL — GASFIREPLACE <br /> DRINKING FOUNTAIN — C,q$yWGE <br /> FLOOR DRAIN GA3 PIPING <br /> — 9ACKFLOW PREVENTER — �F{p,�STFAN <br /> SINK(SERVICE/BAR/MOP/ETC.) . — p7HER <br /> -- OTHER — <br /> I MEREBY CERITIFY THAT 1 HAVE READ AN�EXAt�MNEil TW S PPPLICATION AND KNOHV �M ST E NbiE TO BE TRUE AND CORR�CT. AlL <br /> PROVISIONS OF UW3 AND ORIOINACES CaOVERNINCa THIS TYPE OF WORK W�LL 8E COMPLIED WRH WHETHER SPECIFIEOD 8�R <br /> g�T7E�q GpCqL II.qW REGUUTINC,CANSTRTUCT OSN OR THE PERFORMAN E OF CO STRUC��ON CTHAT�N��AU fsfT�'��E �O�R <br /> OWNER OF THIS�RO�ERTV TO PERFORM THE WORK FOR WMICH APPL�CA7ION�g M'�µ�COMPLY WITN TME STATE <br /> CONTRAC�ORSLAW 1B.�D296.200WAC. lO���� 2r .�-�3�$ <br /> ....�C . _ 1. <br /> -'�, �►'f'1 GL�� e,� <br /> gg r UvnevO ntractor AuU�onzed � . <br /> DEBIT 8 CREDIT CARDS ARE NOT AGCEPTED _ <br />