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NOV-.30-2005 10:37 FROh1:PER19IT <br />� <br />i <br />PEF <br />CITY OF <br />3200 C <br />SITE AODRESS <br />5 a� �lb <br />LEGA LOTNO. <br />t�UrGL► Ca►nb�er <br />T[NANTNAME <br />BLOCK <br />�ou>�s+� ���r� �i� <br />PHO E .�p � <br />�� "'D �i y7L _ <br />PROPOSED U$E,OF�401N_ G <br />u �r�X <br />��7TL7^1 <br />425T756315 TO:S4c'?5257�57 P.1 <br />IT APPLICATIO <br />ERETT PERMIT SERVI � ES <br />R STREET, EVERETT, WA 98201 <br />i7-8810 — FAX 425-257-885 i <br />II ' PARCEL TAX I.O. i! <br />�1 D6�fqS�ea/vo�o-: <br />TRACi <br />AUDRE55 <br />�Q%� �—t S� �-d�01'CjU WC <br />� CONTACTFORPERMIT <br />j ,f_!i?d�. yis 27 <br />❑ ADDRESS <br />PERMIT <br />TVPE ', <br />CONTRACTPRICEOFWORK 12,DO i T <br />WORK OESCRIPTON <br />�� w� <br />N0. � TYPE OF FU(TURE OR �TEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASH BAS�N) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />_ LAUNDRYTRAY <br />CLOTHES VJASHER <br />_ UkINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN � <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTNER <br />�'��e' '`, `J� <br />0 <br />('� Building � Mechanicai <br />t--5 Combination Plumbing <br />rs pemoliGon Sign <br />D Sprinkler <br />CITY OF <br />.IT� �ii7�•T: <br />'I A/C — A/HANDI <br />I _ FOFCEDAIR: <br />HEAT PUhSP <br />� UNIT HEATER: <br />! _ CLOTHES DR1 <br />I RANGEH000 <br />I � WATER HEATE <br />I _ METAL FIREPL <br />FIREPLACE IN <br />i GAS FIREPLA( <br />� _ GAS RANGE <br />i _ GAS PIP�NG <br />_ EXHAUSTFAN <br />IJ -S�� <br />��Lr ���� sai <br />pHON[ <br />8�5� <br />21P CONTR.LICENSEfi <br />ACdltion I HEATSOURCE <br />NleraUon � D Eledric <br />New �'[ Gas <br />RepainMaint. �3 Olher <br />AL SALES TA% CODE IS »OS <br />�� <br />oa Irera <br />I HEREBY CERITIFV THFT I HAVE READ AND E!(HMINED TfiIS APPLICATION AND KNOW TNE SAME Ti� BE TRUE AND CORRECT AL: <br />FROVISIONS OF LAWS AND ORIDINACES GOVERNING TMIS TVPE OF lM1'ORK WILL BE COMPlIEO V:ITH WHETHER SP[CIFIED HEREIN OR <br />NOT; THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOL4TE OR CA EL THE PROVISION OF ANY QTHFR <br />STAYE OR LOCAL IAW REGULATING CONSTRUCTIDN OR THE PERFORMA�CE OP CONSTRUCTiON.� TKA71 AA7 AUTHORIZED BY TNE <br />OWNER OF TMIS PROPERTY 70 PERFORI.7 THE WORK FOR WMICH APPLICATION IS f.MDE AND I CO PLY WITH THE STATE <br />CONTR�CTORS LA .27 RCW AN� 296'200�LUA�.' �/2� ^ J <br />' l. <br />l/nrn/_ .�..._� . / �I � � <br />..._.,....y..... , ...... <br />I <br />DEBIT & GREDIT CARDS ARE NOT <br />