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PJG-16-2005 09:30 FFOM: <br />T0:14252576857 P.1 <br />_-- 9PLICATION <br />PERMIT A PERMIT SERVICES <br />CITY OF EVF-VSTEREE , EVERETT, WA B2ot <br />a25.AR Beto - FAX 425-257-8857 <br />PARCEL TAX I.D. N _ <br />"^ SITE ADDRESS IT _I d- � r)7)371 "'- <br />PERMIT A <br />v TRACT <br />BLOCK <br />LEGA oT No. •^^ e1e PHONE Z DESC a —�' <br />TENANT NAME �I,� Z,i 7707247 <br />C=Y;f (sn"If S(Iny��Y'^!nCK ' ADDRESS ZIP CONTR LICENSE <br />� PHO 2-$ 2Z IN�U <br />%fly <br />F --,� /9 etf1?U1,11e l97i cog <br />PROPOSED USE OF BUILDING 8 <br />ullrlin0 Mechanical (� AOO10on HEATSOURCE <br />PERMIT Combination lumbing WORK H Alteraepn �ElecVc <br />S. TYPE Demolition SIDn TYPE New Gas <br />Sprinkler RepaY/Malnl. Other <br />CONTRACT PRICE OF WORK 7i v� r _ CITY OF EVERETT LOCAL SALES TAX CODE IS 3103 <br />WORK DESCRIPTION r �n <br />PLUMBING "[.� - 11 <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM — NO. I TYPE OF FIXTURE OR ITEM <br />YYAI eKl LUShI IIUILh i) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />A/C — AMANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />E%HAUSTFAN <br />OTHER <br />I HEREBY CERITIFY TKAI I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIOINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONT CTORS LA 2T RRCW AND 296.20° / �1 <br />:/lCR1 �il�Jvviuii/ l 8 1</nc- <br />DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />