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JLN-6-2005 14:22 FROM: T0:1425257BB57 P.2 <br /> ! <br /> PEl�MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 68207 <br /> 425-257-BB'70-FAX 425-257-8857 <br /> SITE ADDREBS ^ � PAROCEL T��M Z� I y i�M��—I � <br /> �J <br /> LEO LOTNO. �LOCK TRACT <br /> OESC. <br /> ZIP PN <br /> Mky'�- �►rq�t'n'�l 2`�(d Ca�(� c'f H.�on� 48zo� ���l�� <br /> 1ENANT NAME CONiACT FOR iE11MiT rM <br /> � �(-�nd�, yLr � zo 3� <br /> CONTIIaCTQ� (��� Q���`�, ADDIIE6! 21P CONTII.LICEN�EA <br /> �.�J/�J Z �'I V/UW <br /> PHo� ZB Z y,�c� 7.��17 7h k'e �� � L�J'�4!'ff��.J9�i ag <br /> ►IlOPOlED UtE OF/UILDIN6 BWldlnp �Mechanical IbOHbn MEAT fOURCE <br /> S � pC11MR B Combinalbn Plumbllfp WORK �Nbnllon D ENe�k <br /> TYVE D Osmolllbn Sipn TVPE N�w D Ga <br /> D Sprinkler R�pUrM41n4 D ana� <br /> CONiRACTPRICEOFtYORK 7 CO!'�1 f.�'� CITYOFEVERETTIOCAL8ALE1TA7(CODEI!l106 <br /> c-r�o t� a — <br /> woRK oe�carna+ <br /> ...f�.s�.i� � �� /�-c.— -z��,,� <br /> PLUMBINO C C <br /> N0. TYPE Of FU(NRE OR REM NO. ME OF FU(TUR!011 ITFM <br /> WATER CLOSET(TOILET) A/C-A/HANDLINO UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> IAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANOE HOOD <br /> IAUNDRV TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACL".^TOVE <br /> URINAL FIREPLACEINSERT <br /> DRINKING FOUNTAIN 6AS FIREPLACE <br /> FLOOR DR/UN C3AS HANOE <br /> BACI(FLOW PREVENTER GAS PIPINO <br /> &INK(SERVICEIBAR/MOP/ETC.) _ EXHAL�3TFAN <br /> OTHER _ OTNER <br /> I FiEREBY CERITIFV T1iAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE ANO COitRECT. ALL <br /> PROVISIONS OF UW3 AND ORIOINACES GOVERNING THIS TYPE OR WORK WILL BE COMPLIED WRM WNETHBIlBrlCIFICD ME1lEIN OR <br /> NOT. TME ORANTIN6 OF A PERMIT OOE9 NOT VRESUME TO ONE AUTHORITV TO VIOUTE OR C:.NCEL TME PROVIBION Of ANV OTHER <br /> STATE OR IOCAL UW REGUUTING CONSTRUCTION OR TF1E PERFORMANCE Of CON8TRUCTION. TMAT I AM AUTNORI2ED BY THE. <br /> OWNER OF THIB PROPERTY TO PERFONM 7HE WOHK FOR WNICN APPLIGTION IB MADE AN01 COMPLV WITM TME BTATE <br /> COM CTORS U1 21 RCW AND YYE.YO � <br /> � ( <br /> rs r n rac r ze pen �s <br /> DEBIT�CREDIT CARDS ARE NOT ACCEPTED <br />