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MRP.-15-2�06 12:45 FROM:PERMIT 4257756315 T0::4�52576857 ?.2 <br /> P�RMIT APPLICATIC,�� <br /> CITY OF EVERETT PERMIT SERVICES / <br /> 3200 CEOAR STREET, EVERETT.WA o8201 �j —1 6 --�L� <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.fi PERMi7f! <br /> Z o 3roQa c�4�, e i��3 9 � 3/ oo �n� o�-�Z � <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PMONE <br /> 12oqer W�se z�a�( �r�dc�uy �-�. `l�zo t �u-339�1'38 <br /> TENANTNAME CO/NTACTFORPERMR PHONE <br /> I /�-!/1 C�ti yLS 2�71"j - `�"-��� <br /> CONTA CTOR ADDRE53 ZIP CONTR.UCENSEl1 <br /> W�s�-f ����f ��� ,�,� Cc�/9-J'fl��J'9��c�g <br /> PHO2�l0 �B L. �a, �� 7`h°'"� '�`� ' '�r��g.�/y <br /> PROPOSED USE OF BUILDINO Duilding ¢chanical Atlditlon NEAT SOURCE <br /> ��� PERMIT Combinalion Plum6ing WORK Alteratlon (]�E���� <br /> TYPE � Demoli�on Sign TVPE New I2Q Gas <br /> Spnnklef epek/Me. . U Oiher <br /> CONTRACT PRILE OF WORK ��� � CITY OF EVERE7T LOGAL SALES TAX COUE IS 7705 <br /> WORK DESLRIPTION ' 1 / / /��,n ��i�J � <br /> �i-J� ��.�1 �--��-'{�1'� �< <.� r,,,��� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTIRE OR ITEM NO.. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A!C—A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR S�STEMS <br /> LAVAIORY(WASH BASIN) _ HEAT P�MP <br /> SHOWER _ UIJITHFI.TERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> LAU DRY TRAY � WATER HEATER <br /> CLOTHES W�SHER _ IvIETAL FIHEPLACElSTOVE <br /> URINAI FIREFLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> DACKFLOW PR[VENTER GAS PIPING <br /> SINK(SERVICE/BARlMOPIETC.) _ EXHAUST FAN <br /> � OTHER _ OTHER <br /> II HEREBY CERITIFY THAT 1 HAVE READ AND EXAIdI1JED THIS APPLICATION AND KNOW THE SFh1E TO BE TRVE AND CORRECT. hLL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPU'eD WITH WHETMER SPECIFIED HEREIN OR <br /> 5 AT OR GOGALILAINo EGULATIMG CONSTRUCTION OR TH�C P RFORMaANCE OF CONSTR OT ON.CTHATH AMRA�UTHO'31 EOABV 0 EHER <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICM APPLICATION IS h1ADE PND 1 CGAIPLY WiTH ThE STATE <br /> CONT CTORS LA�2�7 R`CW AND 296.20� ��`�/Q�� <br /> �jr��. y`Iw,��u, cJ - � <br /> Si at re o wnedConlractor/A nze Agent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />