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4257756315 TC:4252578857 P.3 <br /> DEC-28-2005 09:57 FRDM:PERMIT _ <br /> : <br /> P RMIT APPLiCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982U1 <br /> 425-257-8910-FAX 425-257-8857 <br /> PARCEL TN(I.D.N PErtMI�a . � �� <br /> SITEADDRE55 �H I� /I���� �a � ��������� " l� �_ �_ - <br /> L L (� <br /> LEOA LOT NO. BLOCK TRACT <br /> DESC. —_.--- � <br /> OWNER ADDRESS ZIP P NE l <br /> y�,�r� fA��e� Zz�o C��eue�cch� s4�e 9�"�0� �z:J'Z�tzyq�-- <br /> CONTACTFORPERMIT � � PHONE <br /> TENANT NAMF I / i�L �/ZS /L 1 J � I S� <br /> �'a �l�-Q� /�� d4- c <br /> CONTR GTOR AOURESS ZIP CONTR.LICENSE� <br /> w2�s� ���r� �'Ml�J k� 4� Ecl/�J'/1i�.J%�icig <br /> PM�� �L y�w 7�'� 7h � '�r q�/9 �� <br /> PROPOSED USE OF BUILDING I7 Bullding Mechanlcal f� Additlon HEAT SWRCE <br /> � I PERMIT K COmbina1lon Plumbing WORI< K Alle�ation Ga�� I <br /> TYPE {..� SDremolitlon Siqn NPE k-S N°w <br /> LJ nnkler �8 RepaidMaN. ���� <br /> CONiRACT PRICE OF WORK � , — CITY OF EVERETT LOCAL SALES TN(CODE 19 7705 I <br /> WORK DESCRIPTION�� ��� � / '/�_ ^/u!n ��y7/� i �I <br /> 9 �j�✓ /�[/�/[ (X Y/LY <br /> PLUMBING MECFiANICAL <br /> NO. TVPE OF FU(1URE OR ITEM NO. T'PE OF FII(TURE OR ITEM _ <br /> WATER CLOSET(TOILET) _ AlC-A/HANDLINC UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL ,_ CLOTHES DRYER <br /> DISHWASHER RANGE H000 <br /> LAUNDRV TRAV = WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL __,_ FIREPLACEINSERT <br /> DRINKING FOUNTAIN _ GAS FIREPIl�CE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _, EXHAUST FAN <br /> OTHER _ OTHER � <br /> — — -- ` O <br /> . <br /> --- --'��� � <br /> I MEREBY CERITIFV THAT I HAVE RFAO ANO EKAMINED TMIS APPLICATION ANO KNOW TME SAME TO BE,IAOE Alyt'¢O RECT..�{L> <br /> PROVISIONS OF LAWS AND ORI�IN.�CES GOVERNING THIS TVPE OF WORK WILL BE COMP�IED Wi Wr7ET(M RUSV15 ONEO��P1M,,�IN OR <br /> $�ATE OR GOCALiLAW ttEGULATING CONS RUCTION OR T�E PERFOFMl+NCE OF CO STF CTION. 7 hM AUTH0131�E�7 RY�EH�� � <br /> OWNER OF TMIS 7ROPERTv TO PERFORM THE WORK FOP WHICH APPUCATION IS hUDE AND�COMPL ITH�F�$7\t$ <br /> CONT CTORS LA .27 RCW AND 296.20 ,_�\ �(�' <br /> ����/� � ���-rd�D$� �,. <br /> /�/ /"w�4 ��� �/� _ .. <br /> S� al re o wnerfConlracWd nze Apent ate <br /> DEBIT a CREDIT CARDS ARE NOT ACCEPTED <br /> i <br />