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JPN-29-2006 13:?8 FROM:PERMIT 4257756315 T0: 14252576857 P.1 <br /> :. <br /> PERMIT APPLICATION <br /> CITY OF EVFRETT PERMIT SERVICES <br /> 3200 CEDAF "'REET, EVERETT, WA 98201 <br /> 425-257-L: ,- FAX 425-257-8857 <br /> SITE ADQRESS PARCEL TAX I.D.p PERMIT M <br /> I 7 ZC.o �/Z �c k�+ Q 0 3 � / 4 -�� <br /> LE6AL LOTNO. BLOCK TRACT � <br /> DESC. <br /> OWNER � ADD ESS 21P PMONE <br /> Nccic �n�a/�n� �7�'% �ui� r4a�� q�zo � �zs�-a3 r�Z� i <br /> TENAN7 NAME CONTACT FOR PERMIT vHONE <br /> S�n� � �(.-����ti yzs 2�5- s �i5� <br /> CONTR CTOR ���� ���J � nooaEss 21P CONTR.LICENSF A'� <br /> w�sN � /� <br /> PHONE Gi(�LL�) '/` �� �'e /�,I{ ��/� C�/TJ�/f�I�.J/'�;�� <br /> 2-O(p �$'L "JC.0 'l.I� � <br /> PROPOSEO USE OF @UILDING ('� Bulldinp � Mechanical AdCilion HEAT SOURCe <br /> PERMIT F� Combinatlon ����blumbing WORK �Allerullon � Flectric <br /> TYPE �__( oemolltlon IJ Sign 7YPE Naw Gas <br /> LJ SpiinKler RepnlrfMnlnl. Otha <br /> CON7RACT PRICE OF WORK � �y� _ LITY OF EVERE7T LOCAL S 5 TAX:OOF IS 7105 <br /> C.V <br /> WORK DE9CRIPTIUN � � <br /> C�q:� UU�-(�r ��-� ��L�-� � <br /> PLUMBING MECMANICAL � <br /> NO. TVPE OF FI%TI1RE OR IT[M NO, TYPE OF FIKTURE 0{I ITEM <br /> WATER CLOSET(TUILET) A/C-NHANULI�G UNITS <br /> _ BATNTUA FORCED AIR SYSTEMS � <br /> IAYATORY(WASH BASIN) � HEAT PUMP � <br /> _ SHOWER UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HO('iC1 <br /> _ LAUNDRYTR,4Y � WqTERHEATER <br /> _ C�OTHES WASHER McTALFIREPLACE'STOVE <br />� URINAL FIREPLACEINSERT <br /> _ DRINKING FOUNTAIN GAS Fi�RE�'LACF <br /> _ FLOOk DRAiN GAS f2AN3_ <br /> BACKFLOIN FREVENTER GAS PIP!hG <br />� _ SINK(SER'JICEIBARJMOP/ETC.) EXHAUST FhN � <br /> = OTHER _ OTHER -- I <br /> — � <br /> I HEREBY CERITIFY THAT I HAVC REAO AND EXA1dWE0 TNIS APPLICA`ION�NO KNOW TMh SAM1tE i0 BE TRUE AND CORHECT. ALL I <br /> PFOVIS�ONS OF LA1V5 AN�ORIOINACES GO\'ERN�NG TNIS TYPE OF WORN 1V'LL BE COhIPLI"eD WITH N'HETHFR SPFCiFIED NeREIN OR I <br /> NOT. ThiF GRAN7ING OF A PER1.11T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL UW REGIII ATING CUNSTRUCiION OR THE PERFORMNNCE OF CONSTRUdTION. THAT I AM AUTHORIZED BY?HE <br /> OV�NER OF THIS PF30PERTY TO PERFORM THE WORK FOR WHICH APPUCATION IS hMDE AND I COMPLV WITH THE STATE <br /> OJNTR CTORS LA .P7 RCLY AND 296 20°'� <br /> �(ikk��. )1 ! U ��?� � (,jJ i <br /> Si ot ro of Owner/„ontraclor' � iited Ayent ale I <br /> _ _ DEBIT 8 CREDIT CARDS ARE NOT ACCEPTEO _ __� <br />