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aPft-IS-2004 22:21 FROM: T0:14'S257B85T P.1 <br /> � — �� <br /> PERMIT APPLICATION <br /> 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.M PERMIT N <br /> 2020 ' z��qK�`L �IU� c�o�o� sy��oz3ao fY��acxl-ot� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNE ADDR S9 �P 0 <br /> �,t,J . 'Pa qef ��'��4tLt�e �-� 9��� �r�S- zsz �y`i/ <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> COI�TRA��I J �'1/,�n� � Jp^,�'n, �DRE99`()w_ �/ . --�-_�- ZIP CONTR.LICENSE r <br /> W r� [_. ��h `� a—, v .�7 �rc3P �`"` <br /> PHONE� �a � ��°1h�n-� �- ��'�9f ���i�9��o3 <br /> PROPOSEDUSEOFBUILDINO BUIIGIOQ MBChONWI AOtlIUon HEATOOURCE <br /> S� pERMR B Cambinalbn Plumbin0 WORK � Allere0on `D Eledrlc <br /> TYPE ❑ DemcllUon Slgn TYPE New ��� aa� <br /> U SpAnkler fiepaVm�oim. �.) OtMr <br /> CONTMCT VRICE OF WORK � � '-' CITY OF EVERETT LOCAL SALES TAI(CODE Ib 7105 <br /> WORKDE9CRIPTION /,� I / ' ',, �,` I � �!���.,n^,"]1 <br /> 7 q S 7L� � �(/�'� � c. kc..�\.1 <br /> �� <br /> PLUMBIN(3 MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM NO. TYPE OF FIXNRE OR ITEM <br /> WATER CLOSET(TOILET) _ AIC-AIHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> IAVATORY(WASH BASIN) _ HEAT PUMP <br /> SMOW ER UNIT HEATERS <br /> KITCHEN SINK 8 OISPOSAL CLOTHES DRYER <br /> DISHWA3HER FiANGE 11000 � <br /> LAUNDRYTRAY Z WATERHEP.�ER � <br /> � CLOTHES WASHER METAL FIRE?LACEISTOVE � <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLi10E <br /> FLOOR DRAIN GAS fWJGE <br /> BACKFLOW PREVENTER GAS PIPINO <br /> SINK(SERVICEJBARIMOPIETCJ _ EXHAUST FAN <br /> _ OTHER __ OTHER � <br /> i <br /> � ., _ . <br /> _� �.__ ( --- f <br /> ' NERE9Y C:fiRIT�F1'7:4AT I MAVE READ PND c%AMINED THIS APPLICATION AND KNOW THE BAfde TO BE 7RUE AND CCdRECT. ALL I <br /> �qnVlil^��5 U�:AY.S AND ORIDINACE6 GOVERNING 7HIS TVPE OF WORK WILL BE COMGLiED PI'!H�ti'HETMER SPEGI'IED NEftEIN OR <br /> i NUT ThE CRP 7'ING OF A PERMIT UOES NOT PRESUME TO GI�E AUTHORITY TO VIOLATE OR CANCFL TME PROVISION��1F ANV OTHER <br /> � Sl ATE OR l(1GAL lF1Y HEGULATING CONSTRUCTION OP i HE PERFORMANGE OF CONSTRUCTIOK. THNT I AM AUTHORIZED BV liE <br /> OW NER OF THIS PROPERiY TO PERFORM THE WORK FOR WMICH APPIICATION I;?MADE AND I CGMP�Y WRH THE STATE <br /> CONT TOR$ 18.27 RCW AND 298.200 WAC. <br /> � � yl� <br /> Sig lu o ner onGeMuri zed Agent a�� <br />, � DEBIT 8 CREDIT CARDS ARE NOT ACCcPTED _ <br />